Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 11232 | Date 27/10/2026 |
| Token No | SM/25-26/22673 27/10/2026 | Serial | 009 |
| Patient Name | Mr. PRADIP KUMAR PATWA | Contact No | 9836882312 |
| Address | 48/9/A PRAVASHNAGAR SERAMPORE 712249 | Age | 33 Years,1 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||