Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07250 | Date 29/06/2024 |
| Token No | SM/25-26/6054 08/08/2025 | Serial | 008 |
| Patient Name | Mr. ARPAN KHANRA | Contact No | 7003521788 |
| Address | 43/2 PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||