Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06458 | Date 21/03/2024 |
| Token No | SM/25-26/2167 17/05/2025 | Serial | 017 |
| Patient Name | Mr. ANIRBAN SHARMA | Contact No | 9062478334 |
| Address | 97/Y PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||