Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08698 | Date 10/02/2025 |
| Token No | SM/24-25/35459 10/02/2025 | Serial | 030 |
| Patient Name | Mr. PARTIK SHAW | Contact No | 9831364265 |
| Address | 97/F/5 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 13 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||