Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09548 | Date 07/07/2025 |
| Token No | SM/25-26/4433 07/07/2025 | Serial | 028 |
| Patient Name | Mr. UMA SHANKAR SINGH | Contact No | 8820698246 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||