Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06181 | Date 05/02/2024 |
| Token No | SM/22-23/18295 07/02/2024 | Serial | 032 |
| Patient Name | Master PRIYOM DEY | Contact No | 9433572419 |
| Address | 27 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||