Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09004 | Date 02/04/2025 |
| Token No | SM/25-26/31 02/04/2025 | Serial | 002 |
| Patient Name | Mr. SURAJ KUMAR CHOWDHURY | Contact No | 9088558744 |
| Address | 97/L 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 | |||