Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07238 | Date 29/06/2024 |
| Token No | SM/25-26/1389 30/04/2025 | Serial | 014 |
| Patient Name | Mr. ATISH KUMAR RAJBHAR | Contact No | 8582949878 |
| Address | 97/T PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||