Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04801 | Date 11/08/2023 |
| Token No | SM/22-23/11728 11/08/2023 | Serial | 048 |
| Patient Name | Mr. SHIVNATH ROY | Contact No | 8697613975 |
| Address | 55 NO ROY LAND ROAD SERAMPORE 712201 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||