Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09929 | Date 10/09/2025 |
| Token No | SM/25-26/8085 16/09/2025 | Serial | 008 |
| Patient Name | Mr. SUNIL DAS | Contact No | 9870193039 |
| Address | 43/18 PRAVASNAGAR SERAMPORE 712249 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||