Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06713 | Date 04/05/2024 |
| Token No | SM/24-25/21545 04/05/2024 | Serial | 024 |
| Patient Name | Mr. AVI BARMA | Contact No | 8296230305 |
| Address | 97/H/4/A PROVASNAGAR SERAMPORE 712249 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||