Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05132 | Date 13/09/2023 |
| Token No | SM/22-23/13055 13/09/2023 | Serial | 005 |
| Patient Name | Mr. ARGHA DAS | Contact No | 8100524927 |
| Address | 1 HARIPARA LANE SERAMPORE M 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||