Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02639 | Date 06/09/2022 |
| Token No | SM/22-23/12387 26/08/2023 | Serial | 033 |
| Patient Name | Mr. GAURAV KUMAR | Contact No | 9830568113 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||