Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07780 | Date 30/08/2024 |
| Token No | SM/25-26/873 19/04/2025 | Serial | 041 |
| Patient Name | Mr. ARVIND KUMAR | Contact No | 8777069457 |
| Address | 835/35 SHRI KRISHNA NAGAR RISHRA M SERAMPORE 712249 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||