Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07925 | Date 20/09/2024 |
| Token No | SM/24-25/28519 20/09/2024 | Serial | 069 |
| Patient Name | Mr. PRITISH DAS | Contact No | |
| Address | 67 J N LAHIRI ROAD SERAMPORE 712201 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||