Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08716 | Date 11/02/2025 |
| Token No | SM/24-25/35557 11/02/2025 | Serial | 036 |
| Patient Name | Mr. SANJIV KUMAR NAYAK | Contact No | 8820234192 |
| Address | 97/F/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||