Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06274 | Date 13/02/2024 |
| Token No | SM/24-25/29277 07/10/2024 | Serial | 089 |
| Patient Name | Mr. RUPANKAR RAY | Contact No | 9088556009 |
| Address | 9/443 PROVASNAGAR SERAMPORE 712249 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||