Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09864 | Date 01/09/2025 |
| Token No | SM/25-26/7270 01/09/2025 | Serial | 088 |
| Patient Name | Mr. AWADHESH GIRI | Contact No | 8210163507 |
| Address | 900 S K NAGAR PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||