Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06556 | Date 12/04/2024 |
| Token No | SM/24-25/20661 12/04/2024 | Serial | 004 |
| Patient Name | Mr. PRIYANSHU NAYAK | Contact No | 9163572130 |
| Address | 22/B2I FIRINGI DANGA ROAD SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||