Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01703 | Date 27/05/2022 |
| Token No | SM/25-26/2402 22/05/2025 | Serial | 008 |
| Patient Name | Mr. SIKENDAR GIRI | Contact No | 9830158486 |
| Address | 209 NEW MAHESH SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 130/70 mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||