Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02825 | Date 29/09/2022 |
| Token No | SM/24-25/33227 26/12/2024 | Serial | 021 |
| Patient Name | Mr. BANTI BISWAS | Contact No | 8276884326 |
| Address | KONNAGAR BASER COLONY KONNAGAR M 712234 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||