Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06690 | Date 03/05/2024 |
| Token No | SM/24-25/21461 03/05/2024 | Serial | 056 |
| Patient Name | Master AVI BARUA | Contact No | |
| Address | SERAMPORE | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||