Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09342 | Date 26/05/2025 |
| Token No | SM/25-26/2576 26/05/2025 | Serial | 027 |
| Patient Name | Mr. BADAL KUMAR SAW | Contact No | 6289767990 |
| Address | 39 S K NAGAR PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||