Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08700 | Date 10/02/2025 |
| Token No | SM/25-26/6188 11/08/2025 | Serial | 053 |
| Patient Name | Mr. UTTAM SHRIMANI | Contact No | 8420175792 |
| Address | 49 PATUA PARA LANE SERAMPORE 712201 | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||