Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04960 | Date 25/08/2023 |
| Token No | SM/22-23/12353 25/08/2023 | Serial | 048 |
| Patient Name | Master PRANAB JHA | Contact No | 8240169989 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||