Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01731 | Date 27/05/2022 |
| Token No | SM/22-23/195 27/05/2022 | Serial | 056 |
| Patient Name | Master RAJ MAJHI | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 4 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||