Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04989 | Date 28/08/2023 |
| Token No | SM/25-26/7734 10/09/2025 | Serial | 053 |
| Patient Name | Mr. BHOLA MAJHI | Contact No | 9051847840 |
| Address | 195 NEW MAHESH SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||