Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09327 | Date 21/05/2025 |
| Token No | SM/25-26/9167 15/10/2025 | Serial | 056 |
| Patient Name | Mr. ASHIM LOUHA | Contact No | 9088522104 |
| Address | 43/32/B/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||