Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05384 | Date 10/10/2023 |
| Token No | SM/22-23/14171 10/10/2023 | Serial | 005 |
| Patient Name | Mr. PRIYAM PAUL | Contact No | 9681209344 |
| Address | DAKSHIN RAJYADHARPUR GHOSH PARA SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||