Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06068 | Date 17/01/2024 |
| Token No | SM/25-26/6484 18/08/2025 | Serial | 022 |
| Patient Name | Mr. RAJU CHOUDHURY | Contact No | 9903335299 |
| Address | 43/D PRAVASNAGAR SERAMPORE 712249 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||