Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04797 | Date 11/08/2023 |
| Token No | SM/22-23/18872 21/02/2024 | Serial | 022 |
| Patient Name | Master SHUBHAM SHAW | Contact No | 8820062273 |
| Address | 969 SREE KRISHNA NAGAR RISHRA M SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||