Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00704 | Date 09/01/2020 |
| Token No | SM/22-23/1340 15/07/2022 | Serial | 010 |
| Patient Name | Mr. ANKUSH ROY | Contact No | 8250440832 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||