Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05412 | Date 12/10/2023 |
| Token No | SM/24-25/23926 28/06/2024 | Serial | 010 |
| Patient Name | Mr. SK SOHAIL | Contact No | 6290654757 |
| Address | 88 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||