Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05349 | Date 06/10/2023 |
| Token No | SM/22-23/14017 06/10/2023 | Serial | 022 |
| Patient Name | Mr. ANKIT SHAW | Contact No | 6290651643 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||