Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07008 | Date 14/06/2024 |
| Token No | SM/24-25/23160 14/06/2024 | Serial | 031 |
| Patient Name | Mr. SOUMYA PAL | Contact No | 9330683024 |
| Address | 132/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||