Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04837 | Date 16/08/2023 |
| Token No | SM/22-23/11998 18/08/2023 | Serial | 030 |
| Patient Name | Mr. BIKRAM DAS | Contact No | 8017131672 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||