Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10599 | Date 02/03/2026 |
| Token No | SM/25-26/15490 02/03/2026 | Serial | 066 |
| Patient Name | Mr. SHANKAR HATI | Contact No | 9239209757 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 67 Years,4 Months,29 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||