Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07135 | Date 26/06/2024 |
| Token No | SM/25-26/12151 19/12/2025 | Serial | 015 |
| Patient Name | Mr. OMKAR SINGH | Contact No | 9883329797 |
| Address | 43/46/D PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||