Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05172 | Date 19/09/2023 |
| Token No | SM/22-23/13292 20/09/2023 | Serial | 010 |
| Patient Name | Master SAYAN DAS | Contact No | 8017769650 |
| Address | SIMLA HIGH SCHOOL SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||