Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07944 | Date 25/09/2024 |
| Token No | SM/24-25/28711 25/09/2024 | Serial | 019 |
| Patient Name | Mr. RAHUL RAJBHAR | Contact No | 8274979458 |
| Address | 10 NO RAILWAY QUATER SERAMPORE 712201 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||