Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07095 | Date 22/06/2024 |
| Token No | SM/25-26/3926 24/06/2025 | Serial | 034 |
| Patient Name | Mr. ARNAB RAHA | Contact No | 8240086089 |
| Address | 1 NO SERAMPORE COLONY DAKSHIN RAJYADHARPUR 712203 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||