Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09646 | Date 28/07/2025 |
| Token No | SM/25-26/5436 28/07/2025 | Serial | 031 |
| Patient Name | Mr. NIRAJ PRASAD SINHA | Contact No | 9709692510 |
| Address | 10/A PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||