Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07006 | Date 14/06/2024 |
| Token No | SM/24-25/23156 14/06/2024 | Serial | 027 |
| Patient Name | Master KRISHNA SHAW | Contact No | 9903081615 |
| Address | 66/D/4 PROVASNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||