Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09212 | Date 05/05/2025 |
| Token No | SM/25-26/1553 05/05/2025 | Serial | 038 |
| Patient Name | Mr. TUSHAR KANTI THAKUR | Contact No | 7439014972 |
| Address | 105 MALLICKPARA SERAMPORE 712203 | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||