Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00591 | Date 21/12/2019 |
| Token No | SM/24-25/21093 24/04/2024 | Serial | 021 |
| Patient Name | Mr. ANIKET MAHATO | Contact No | 7278736479 |
| Address | 3/A DR B R AMBEDKAR LANE MALLICKPARA SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||