Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02952 | Date 20/10/2022 |
| Token No | SM/22-23/3662 20/10/2022 | Serial | 028 |
| Patient Name | Mr. BIR KUMAR DAS | Contact No | 8584965820 |
| Address | PRABASHNAGAR NAYA BASTI SERAMPORE 712249 | Age | 11 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||