Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09170 | Date 24/04/2025 |
| Token No | SM/25-26/5227 23/07/2025 | Serial | 068 |
| Patient Name | Master ABHIMANYU RAJAK | Contact No | 8017120390 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||