Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11691 | Date 24/06/2024 |
| Token No | SM/24-25/17087 24/06/2024 | Serial | 018 |
| Patient Name | Master SURIANSH CHOUDHURY | Contact No | NOT GIVEN |
| Address | 7 DEY GHAT LANE | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||