Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05548 | Date 01/11/2023 |
| Token No | SM/22-23/15069 03/11/2023 | Serial | 028 |
| Patient Name | Mr. SATYAJIT PRASAD | Contact No | 9836523984 |
| Address | 9/438 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||