Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07563 | Date 01/08/2024 |
| Token No | SM/25-26/10658 19/11/2025 | Serial | 018 |
| Patient Name | Mr. SANJAY SINGH | Contact No | |
| Address | SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||