Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05396 | Date 10/10/2023 |
| Token No | SM/22-23/14222 10/10/2023 | Serial | 056 |
| Patient Name | Master HIMANSH PRASAD | Contact No | 7003431837 |
| Address | 97/P/13 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||