Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04149 | Date 06/05/2023 |
| Token No | SM/24-25/35703 15/02/2025 | Serial | 028 |
| Patient Name | Mr. ATISH KUMAR SHAW | Contact No | 8697545926 |
| Address | 9/437 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||