Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12872 | Date 08/04/2025 |
| Token No | SM/25-26/93 08/04/2025 | Serial | 002 |
| Patient Name | Mr. SAM RAJ | Contact No | 9487520025 |
| Address | SERAMPORE COLLEGE | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||