Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05309 | Date 30/09/2023 |
| Token No | SM/22-23/13822 30/09/2023 | Serial | 042 |
| Patient Name | Mr. RAJDIP DAS | Contact No | 8478092629 |
| Address | 2/208 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||