Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06984 | Date 11/06/2024 |
| Token No | SM/24-25/23041 11/06/2024 | Serial | 037 |
| Patient Name | Mr. OM MAJHI | Contact No | 9340036275 |
| Address | B B GHOSH ROAD TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||