Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 07891 | Date 12/09/2024 |
| Token No | SM/24-25/28140 12/09/2024 | Serial | 018 |
| Patient Name | Mr. KUNAL SHAW | Contact No | 6290037187 |
| Address | 70/1/2/98 K B LANE SERAMPORE 712202 | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||