Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04810 | Date 12/08/2023 |
| Token No | SM/22-23/11765 12/08/2023 | Serial | 016 |
| Patient Name | Mr. SHIBRAJ CHAKRABORTY | Contact No | 9230178573 |
| Address | BIBIRBER GHORAMARA SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||