Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 07076 | Date 21/06/2024 |
| Token No | SM/24-25/23604 24/06/2024 | Serial | 028 |
| Patient Name | Master AAYAN KHATUA | Contact No | 9748022601 |
| Address | 4/2 RAI LAND ROAD SERAMPORE 712202 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||