Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07753 | Date 27/08/2024 |
| Token No | SM/24-25/27240 27/08/2024 | Serial | 029 |
| Patient Name | Mr. SEKH ROHIT | Contact No | 7439098537 |
| Address | 85 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||