Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 06064 | Date 16/01/2024 |
| Token No | SM/22-23/17640 19/01/2024 | Serial | 028 |
| Patient Name | Mr. AKASH DAS | Contact No | 9836596377 |
| Address | 9/A ROYLAND ROAD SERAMPORE 712248 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||