Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08921 | Date 20/03/2025 |
| Token No | SM/24-25/37168 20/03/2025 | Serial | 051 |
| Patient Name | Mr. ZAMIL AHAMAD | Contact No | 8617599498 |
| Address | 31 CHILEKHANA ROAD SERAMPORE 712203 | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||