Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04149 | Date 06/05/2023 |
| Token No | SM/22-23/19912 18/03/2024 | Serial | 009 |
| Patient Name | Mr. ATISH KUMAR SHAW | Contact No | 8697545926 |
| Address | 9/437 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||