Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06293 | Date 17/02/2024 |
| Token No | SM/25-26/394 08/04/2025 | Serial | 020 |
| Patient Name | Mr. SUBRATA PASHI | Contact No | 7044783859 |
| Address | 9/437 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||