Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04123 | Date 02/05/2023 |
| Token No | SM/25-26/6387 14/08/2025 | Serial | 046 |
| Patient Name | Mr. BHONU SINGH | Contact No | 9051507256 |
| Address | 165/A M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||