Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04126 | Date 02/05/2023 |
| Token No | SM/22-23/8528 02/05/2023 | Serial | 012 |
| Patient Name | Master SOHAN RAJBHAR | Contact No | |
| Address | HINDI SCHOOL PRABASHNAGAR SERAMPORE 712249 | Age | 2 Y 6 M Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||