Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07381 | Date 06/07/2024 |
| Token No | SM/25-26/8244 20/09/2025 | Serial | 002 |
| Patient Name | Mr. SANDIP KUMAR PANDIT | Contact No | 7439882838 |
| Address | NAYA BASTI PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||