Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06158 | Date 02/02/2024 |
| Token No | SM/22-23/18100 02/02/2024 | Serial | 044 |
| Patient Name | Master SOUMYAJIT ATHA | Contact No | 9007755223 |
| Address | PATHAK PARA BAKURA | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||