Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03302 | Date 01/12/2022 |
| Token No | SM/24-25/37100 19/03/2025 | Serial | 032 |
| Patient Name | Mr. ROHAN BANIK | Contact No | 9874642573 |
| Address | 43/32/D/2 PURBAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||