Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07993 | Date 05/10/2024 |
| Token No | SM/25-26/4479 09/07/2025 | Serial | 002 |
| Patient Name | Mr. SUNIL PASWAN | Contact No | 7449514631 |
| Address | 122 GURU GARDEN ROAD SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||