Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06989 | Date 12/06/2024 |
| Token No | SM/24-25/29061 04/10/2024 | Serial | 024 |
| Patient Name | Mr. SK RAHAMAN | Contact No | 8961248491 |
| Address | 23/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||