Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06724 | Date 06/05/2024 |
| Token No | SM/24-25/21586 06/05/2024 | Serial | 009 |
| Patient Name | Master AJIT NAYEK | Contact No | |
| Address | SERAMPORE | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||