Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12836 | Date 29/03/2025 |
| Token No | SM/24-25/21493 29/03/2025 | Serial | 013 |
| Patient Name | Mr. ANIL DAS | Contact No | 8961820942 |
| Address | SERAMPORE PACHU BAZAR | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||