Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01620 | Date 23/05/2022 |
| Token No | SM/22-23/40 23/05/2022 | Serial | 009 |
| Patient Name | Mr. SUJAL ROUTH | Contact No | 7595054131 |
| Address | 9-433 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 13 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||