Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07776 | Date 30/08/2024 |
| Token No | SM/25-26/9565 25/10/2025 | Serial | 031 |
| Patient Name | Mr. DIPAK KUMAR HELA | Contact No | 6291524854 |
| Address | 43/D PRAVASHNAGAR SERAMPORE 712249 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||