Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08705 | Date 11/02/2025 |
| Token No | SM/24-25/35526 11/02/2025 | Serial | 005 |
| Patient Name | Mr. DIPU DAS | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||