Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09429 | Date 11/06/2025 |
| Token No | SM/25-26/3369 11/06/2025 | Serial | 086 |
| Patient Name | Mr. OMDEEP KUMAR THAKUR | Contact No | 7605863050 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||