Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13525 | Date 15/09/2025 |
| Token No | SM/25-26/2058 15/09/2025 | Serial | 015 |
| Patient Name | Mr. ANIRUDDHA SARDAR | Contact No | 7477322409 |
| Address | BIBIR BER SERAMPORE | Age | 74 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||