Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07923 | Date 20/09/2024 |
| Token No | SM/24-25/28513 20/09/2024 | Serial | 063 |
| Patient Name | Master UTSAV KUMAR | Contact No | 8240169989 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||