Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06912 | Date 01/06/2024 |
| Token No | SM/24-25/22599 01/06/2024 | Serial | 020 |
| Patient Name | Mr. KARTICK RAM | Contact No | 7890899804 |
| Address | 101 PRAVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||