Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06430 | Date 14/03/2024 |
| Token No | SM/25-26/4692 14/07/2025 | Serial | 052 |
| Patient Name | Mr. SHIV SANKAR PRASAD | Contact No | 8335006550 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/85 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||