Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07589 | Date 05/08/2024 |
| Token No | SM/24-25/26058 05/08/2024 | Serial | 073 |
| Patient Name | Mr. SARTHAK MONDAL | Contact No | 6291622838 |
| Address | SIMLA BISWAKABI TALA SERAMPORE 712203 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||