Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10131 | Date 03/11/2025 |
| Token No | SM/25-26/9897 03/11/2025 | Serial | 070 |
| Patient Name | Mr. MD RAJA | Contact No | 9163880546 |
| Address | 45/A/1 R K ROAD SERAMPORE M RISHRA 712248 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||