Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09730 | Date 11/08/2025 |
| Token No | SM/25-26/6170 11/08/2025 | Serial | 035 |
| Patient Name | Mr. HARENDRA RAY | Contact No | 9883620934 |
| Address | 74 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||