Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08204 | Date 14/11/2024 |
| Token No | SM/25-26/7836 11/09/2025 | Serial | 043 |
| Patient Name | Master ARAV RAJAK | Contact No | 8697301983 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||