Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04459 | Date 07/07/2023 |
| Token No | SM/24-25/31477 20/11/2024 | Serial | 045 |
| Patient Name | Mr. DEV DAS | Contact No | 7003181202 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||