Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07822 | Date 04/09/2024 |
| Token No | SM/24-25/27673 04/09/2024 | Serial | 056 |
| Patient Name | Mr. SAHEB SAHA | Contact No | 8420050374 |
| Address | 22/24/9 F D ROAD SOCIETY MATH SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||