Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06962 | Date 08/06/2024 |
| Token No | SM/24-25/22918 08/06/2024 | Serial | 037 |
| Patient Name | Master MAYUKH NATH | Contact No | 6290366252 |
| Address | 113/3/1 NATUNGRAM ROAD BHATPARA M N 24 PRGS 743127 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||