Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10007 | Date 25/09/2025 |
| Token No | SM/25-26/8526 25/09/2025 | Serial | 031 |
| Patient Name | Mr. ARUP PATRA | Contact No | 8017678713 |
| Address | 97/A MALLICKPARA LANE SERAMPORE 712203 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||