Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09253 | Date 08/05/2025 |
| Token No | SM/25-26/1741 08/05/2025 | Serial | 043 |
| Patient Name | Mr. VIDYASAGAR SHAW | Contact No | 9804642522 |
| Address | 43/27/A/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||