Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04914 | Date 22/08/2023 |
| Token No | SM/24-25/35042 01/02/2025 | Serial | 032 |
| Patient Name | Mr. BIJAY PRASAD | Contact No | 9836523984 |
| Address | 9/438 PRAVASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||