Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06000 | Date 04/01/2024 |
| Token No | SM/22-23/17181 04/01/2024 | Serial | 014 |
| Patient Name | Mr. PRIYANSHU BISWAS | Contact No | 8017645859 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||