Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06993 | Date 12/06/2024 |
| Token No | SM/24-25/23079 12/06/2024 | Serial | 031 |
| Patient Name | Mr. INDRAJIT PAL | Contact No | 8697575755 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||