Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07569 | Date 02/08/2024 |
| Token No | SM/24-25/25908 02/08/2024 | Serial | 001 |
| Patient Name | Master RUDRAJ RAJBHAR | Contact No | 7044662391 |
| Address | 97/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||