Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09057 | Date 07/04/2025 |
| Token No | SM/25-26/22619 26/10/2026 | Serial | 009 |
| Patient Name | Mr. GOURAB SHAW | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 19 Years,4 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||