Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07719 | Date 21/08/2024 |
| Token No | SM/24-25/26930 21/08/2024 | Serial | 032 |
| Patient Name | Mr. SOUMYAJIT ROY | Contact No | 8961143890 |
| Address | 3/8 MAHESH COLONY SERAMPORE 712201 | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||