Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07510 | Date 23/07/2024 |
| Token No | SM/24-25/25406 23/07/2024 | Serial | 041 |
| Patient Name | Master ROSHAN GUPTA | Contact No | 8481871435 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||