Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07253 | Date 29/06/2024 |
| Token No | SM/24-25/25467 24/07/2024 | Serial | 054 |
| Patient Name | Mr. ABHINASH CHOWDHURY | Contact No | 8013551710 |
| Address | 55 ROILAND ROAD SERAMPORE M HOOGHLY 712201 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||