Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06250 | Date 10/02/2024 |
| Token No | SM/22-23/18494 10/02/2024 | Serial | 055 |
| Patient Name | Master MITRANGSHU NAYEK | Contact No | 8917597058 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||