Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06983 | Date 11/06/2024 |
| Token No | SM/24-25/23040 11/06/2024 | Serial | 036 |
| Patient Name | Mr. DEBJIT PALIT | Contact No | 9477956570 |
| Address | 10F HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||