Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07013 | Date 15/06/2024 |
| Token No | SM/24-25/23188 15/06/2024 | Serial | 022 |
| Patient Name | Miss SHREYA ROUTH | Contact No | 9836514750 |
| Address | GHORAMARA MALLICKPARA SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||