Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09322 | Date 19/05/2025 |
| Token No | SM/25-26/2268 19/05/2025 | Serial | 076 |
| Patient Name | Mr. BIJAY RAJAK | Contact No | 9804059313 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||