Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02647 | Date 07/09/2022 |
| Token No | SM/22-23/8280 18/04/2023 | Serial | 009 |
| Patient Name | Mr. ANIKET KUMAR | Contact No | 7044338884 |
| Address | 99/B/A PRABASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||