Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05989 | Date 03/01/2024 |
| Token No | SM/22-23/17130 03/01/2024 | Serial | 002 |
| Patient Name | Mr. SK SAIJAN | Contact No | 8090858615 |
| Address | 17/B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||