Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02734 | Date 20/09/2022 |
| Token No | SM/24-25/27953 09/09/2024 | Serial | 049 |
| Patient Name | Mr. SAYAN AROS | Contact No | 9433854870 |
| Address | 12/A SANI PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||