Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07266 | Date 29/06/2024 |
| Token No | SM/25-26/6062 08/08/2025 | Serial | 016 |
| Patient Name | Mr. BAPPA KAPAR | Contact No | 9831383880 |
| Address | 66/B/3/A GURU GARDEN ROAD SERAMPORE 712249 | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||