Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09484 | Date 20/06/2025 |
| Token No | SM/25-26/3769 20/06/2025 | Serial | 017 |
| Patient Name | Mr. ARJUN RABIDAS | Contact No | 7890223447 |
| Address | 235 NEW MAHESH SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||