Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07416 | Date 10/07/2024 |
| Token No | SM/25-26/10215 10/11/2025 | Serial | 029 |
| Patient Name | Mr. BIKASH PRASAD | Contact No | 9123921734 |
| Address | 9/445 PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||