Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05073 | Date 05/09/2023 |
| Token No | SM/25-26/5438 28/07/2025 | Serial | 033 |
| Patient Name | Mr. SUDHIR RAVIDAS | Contact No | 6202920686 |
| Address | GHORAMARA P SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||