Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05901 | Date 19/12/2023 |
| Token No | SM/25-26/10075 07/11/2025 | Serial | 013 |
| Patient Name | Mr. BIKI PRASAD | Contact No | 9674600802 |
| Address | 9/445 PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||