Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01575 | Date 06/07/2020 |
| Token No | SM/25-26/2661 28/05/2025 | Serial | 008 |
| Patient Name | Mr. RATAN KUMAR SHARMA | Contact No | 8444067719 |
| Address | 97/Y PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||