Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09293 | Date 15/05/2025 |
| Token No | SM/25-26/2047 15/05/2025 | Serial | 010 |
| Patient Name | Mr. SANJU NAYEK | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||