Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07347 | Date 03/07/2024 |
| Token No | SM/25-26/7184 01/09/2025 | Serial | 002 |
| Patient Name | Mr. SUNNY RAJBHAR | Contact No | 9933032599 |
| Address | PURBAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||