Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07271 | Date 29/06/2024 |
| Token No | SM/25-26/6107 09/08/2025 | Serial | 007 |
| Patient Name | Mr. ARYA SAHA | Contact No | 8334861133 |
| Address | 4/C JAMIDAR BAGAN LANE SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||