Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07091 | Date 22/06/2024 |
| Token No | SM/24-25/23533 22/06/2024 | Serial | 012 |
| Patient Name | Mr. HARDIK RAY | Contact No | 9804935828 |
| Address | 240 MAHESH COLONY SERAMPORE HOOGHLY 712202 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||