Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04815 | Date 12/08/2023 |
| Token No | SM/25-26/8488 24/09/2025 | Serial | 079 |
| Patient Name | Mr. AVINASH GAURAV | Contact No | 7003286249 |
| Address | 20 BARA BAGAN LANE SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||