Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06955 | Date 07/06/2024 |
| Token No | SM/24-25/26626 14/08/2024 | Serial | 026 |
| Patient Name | Master PRINCE ROUTH | Contact No | 9073338115 |
| Address | RAJYADHARPUR GHORAMARA SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||