Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06322 | Date 20/02/2024 |
| Token No | SM/25-26/9147 15/10/2025 | Serial | 036 |
| Patient Name | Master ANSH NAYAK | Contact No | 8820234192 |
| Address | 97/F/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||