Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05973 | Date 30/12/2023 |
| Token No | SM/22-23/17059 30/12/2023 | Serial | 011 |
| Patient Name | Master ANSH RAJ | Contact No | 7250229562 |
| Address | PROVSANAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||