Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05458 | Date 17/10/2023 |
| Token No | SM/22-23/14501 17/10/2023 | Serial | 044 |
| Patient Name | Mr. SOUMYADEEP PAL | Contact No | 9830717706 |
| Address | BORA BAISHNAB PARA SINGUR 712306 | Age | 6 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||