Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04978 | Date 28/08/2023 |
| Token No | SM/22-23/12426 28/08/2023 | Serial | 028 |
| Patient Name | Mr. DHRUBA SARKAR | Contact No | 9830441593 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||