Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09156 | Date 22/04/2025 |
| Token No | SM/25-26/1018 22/04/2025 | Serial | 033 |
| Patient Name | Mr. PRATIK RAY | Contact No | 9073527251 |
| Address | 64 PRAVASHNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||