Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07213 | Date 28/06/2024 |
| Token No | SM/25-26/5687 02/08/2025 | Serial | 001 |
| Patient Name | Mr. AYUSH SAHA | Contact No | 9874728057 |
| Address | 2/237 MAHESH COLONY SERAMPORE 712202 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||