Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09430 | Date 11/06/2025 |
| Token No | SM/25-26/3376 11/06/2025 | Serial | 093 |
| Patient Name | Mr. ANKIT PAL | Contact No | 7044760984 |
| Address | 46 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||