Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09506 | Date 26/06/2025 |
| Token No | SM/25-26/4030 26/06/2025 | Serial | 050 |
| Patient Name | Mr. AAKASH | Contact No | 8115884920 |
| Address | 97/N/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||