Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05351 | Date 06/10/2023 |
| Token No | SM/22-23/14021 06/10/2023 | Serial | 026 |
| Patient Name | Master SK ARHAN | Contact No | 7449830159 |
| Address | 28 CHILEKHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||