Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05568 | Date 03/11/2023 |
| Token No | SM/25-26/593 11/04/2025 | Serial | 005 |
| Patient Name | Mr. JOYPRAKASH RAJAK | Contact No | 7686899100 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||