Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10596 | Date 02/03/2026 |
| Token No | SM/25-26/15454 02/03/2026 | Serial | 030 |
| Patient Name | Mr. JITENDRA KUMAR RAJBHAR | Contact No | 7980268366 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 33 Years,10 Months,16 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||