Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06597 | Date 20/04/2024 |
| Token No | SM/25-26/8267 20/09/2025 | Serial | 025 |
| Patient Name | Mr. ASHOK SINGH | Contact No | 8100009798 |
| Address | STANDER PHARMACY SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||