Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05322 | Date 03/10/2023 |
| Token No | SM/25-26/8806 08/10/2025 | Serial | 058 |
| Patient Name | Mr. ANSHU RAJAK | Contact No | 8820709667 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 135/76 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||