Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06441 | Date 18/03/2024 |
| Token No | SM/24-25/35710 15/02/2025 | Serial | 035 |
| Patient Name | Mr. RUP CHANDRA KAR | Contact No | 9163875762 |
| Address | GHORAMARA PASCHIMPARA SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||