Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08487 | Date 30/12/2024 |
| Token No | SM/25-26/6529 18/08/2025 | Serial | 067 |
| Patient Name | Mr. RAJKUMAR RABIDAS | Contact No | 9748384063 |
| Address | 66/B/B PRAVASHNAGAR SERAMPORE 712249 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||