Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07001 | Date 14/06/2024 |
| Token No | SM/24-25/23144 14/06/2024 | Serial | 015 |
| Patient Name | Mr. SEBAI RAJBANSHI | Contact No | 9748258089 |
| Address | 66/B GURU GARDEN ROAD PRABASNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||