Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06023 | Date 08/01/2024 |
| Token No | SM/25-26/12520 30/12/2025 | Serial | 023 |
| Patient Name | Mr. DHRUP SINGH | Contact No | 6290184456 |
| Address | 43/20/E PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||