Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09305 | Date 17/05/2025 |
| Token No | SM/25-26/2162 17/05/2025 | Serial | 012 |
| Patient Name | Mr. RAJESH RAJAK | Contact No | 7890520299 |
| Address | 20/B PRAVASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||