Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06404 | Date 11/03/2024 |
| Token No | SM/22-23/19677 11/03/2024 | Serial | 031 |
| Patient Name | Master AYUSHMAN MUKHERJEE | Contact No | 9804109078 |
| Address | 74/A MALLICKPARA LANE SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||