Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06396 | Date 09/03/2024 |
| Token No | SM/25-26/5393 26/07/2025 | Serial | 025 |
| Patient Name | Mr. DHANRAJ RAM | Contact No | 7003644986 |
| Address | 49/N GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||