Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07946 | Date 25/09/2024 |
| Token No | SM/24-25/28796 26/09/2024 | Serial | 051 |
| Patient Name | Mr. PARAMBRATA PAL | Contact No | 9477225137 |
| Address | 43/46/K PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||