Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04832 | Date 14/08/2023 |
| Token No | SM/22-23/11852 14/08/2023 | Serial | 060 |
| Patient Name | Master SK AHAN | Contact No | 6289180323 |
| Address | 83 NO MALLICKPARA LANE SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||