Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06621 | Date 24/04/2024 |
| Token No | SM/24-25/21115 24/04/2024 | Serial | 043 |
| Patient Name | Mr. NAKUL KUMAR MAHATO | Contact No | 8481091913 |
| Address | GHORAMARA PURBAPARA MALLICKPARA SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||