Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05817 | Date 09/12/2023 |
| Token No | SM/22-23/16268 09/12/2023 | Serial | 001 |
| Patient Name | Mr. ANIK MONDAL | Contact No | 9874162199 |
| Address | SATGHARA MADHYAPARA PANDIT SATGHARA 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||