Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04434 | Date 05/07/2023 |
| Token No | SM/24-25/26021 05/08/2024 | Serial | 036 |
| Patient Name | Master AYUSH KUMAR SAH | Contact No | 8481047538 |
| Address | 10/B HARIPARA LANE SERAMPORE M 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||