Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04857 | Date 18/08/2023 |
| Token No | SM/22-23/11973 18/08/2023 | Serial | 005 |
| Patient Name | Mr. ROUNAK RAJAK | Contact No | 9330144396 |
| Address | 97/J/4 PRABASHNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||