Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00302 | Date 25/10/2019 |
| Token No | SM/25-26/4604 12/07/2025 | Serial | 025 |
| Patient Name | Mr. ROHIT SINGH | Contact No | 8240404420 |
| Address | 97/C PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||