Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09469 | Date 18/06/2025 |
| Token No | SM/25-26/3671 18/06/2025 | Serial | 020 |
| Patient Name | Mr. BIKRAM JHA | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||