Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09322 | Date 19/05/2025 |
| Token No | SM/25-26/2531 24/05/2025 | Serial | 022 |
| Patient Name | Mr. BIJAY RAJAK | Contact No | 9804059313 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||