Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06590 | Date 19/04/2024 |
| Token No | SM/24-25/20895 19/04/2024 | Serial | 031 |
| Patient Name | Master DEBRAJ KUMAR | Contact No | |
| Address | NAYA BASTI PRAVASHNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||