Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02799 | Date 26/09/2022 |
| Token No | SM/22-23/3081 26/09/2022 | Serial | 050 |
| Patient Name | Mr. DEEP DAS | Contact No | 9163830949 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 8 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||