Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08605 | Date 25/01/2025 |
| Token No | SM/25-26/6891 25/08/2025 | Serial | 125 |
| Patient Name | Master VANSH KESAR | Contact No | 8777375119 |
| Address | 38/B GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||