Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03972 | Date 21/03/2023 |
| Token No | SM/22-23/12875 09/09/2023 | Serial | 014 |
| Patient Name | Mr. SWASTIK SUTRADHAR | Contact No | 9831813933 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||