Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09307 | Date 17/05/2025 |
| Token No | SM/25-26/7711 10/09/2025 | Serial | 030 |
| Patient Name | Mr. SATYA NARAYAN RAJBHAR | Contact No | 6291563788 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||