Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05383 | Date 10/10/2023 |
| Token No | SM/22-23/14168 10/10/2023 | Serial | 002 |
| Patient Name | Mr. ROHIT DEBNATH | Contact No | 8777284829 |
| Address | 31 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||