Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02748 | Date 22/09/2022 |
| Token No | SM/25-26/3961 25/06/2025 | Serial | 029 |
| Patient Name | Mr. SHREYAN GHOSH | Contact No | 9804935828 |
| Address | VIVEKANANDANAGAR PANDUA PANDUA 712149 | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||