Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08232 | Date 19/11/2024 |
| Token No | SM/24-25/31422 19/11/2024 | Serial | 064 |
| Patient Name | Mr. RANA ROY | Contact No | 6290227634 |
| Address | 65/20 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||