Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07380 | Date 06/07/2024 |
| Token No | SM/25-26/8207 19/09/2025 | Serial | 028 |
| Patient Name | Mr. AMIT KUMAR PANDIT | Contact No | 7439882838 |
| Address | NAYA BASTI PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||