Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10003 | Date 24/09/2025 |
| Token No | SM/25-26/8441 24/09/2025 | Serial | 032 |
| Patient Name | Mr. MOHAN BHANDARI | Contact No | 9163536061 |
| Address | 65/25/51 PRAVASHNAGAR SERAMPORE 712249 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||