Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08638 | Date 31/01/2025 |
| Token No | SM/24-25/34936 31/01/2025 | Serial | 015 |
| Patient Name | Master AAMAYRA NAYAK | Contact No | 8777012409 |
| Address | 97/F/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||