Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08786 | Date 24/02/2025 |
| Token No | SM/24-25/36059 24/02/2025 | Serial | 033 |
| Patient Name | Mr. AKASH GOPE | Contact No | 7439247606 |
| Address | 49/D/2 PRABASHNAGAR SERAMPORE 712249 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||