Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10089 | Date 22/10/2025 |
| Token No | SM/25-26/9432 22/10/2025 | Serial | 023 |
| Patient Name | Mr. RANJIT PASWAN | Contact No | 7890191738 |
| Address | 97/Q/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor,Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||