Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00209 | Date 20/09/2019 |
| Token No | SM/22-23/19411 04/03/2024 | Serial | 066 |
| Patient Name | Mr. ROHEN BISWAS | Contact No | 7620336098 |
| Address | BHOLADANGA GAYESHPUR SHANTIPUR NADIA 741404 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 5.4 cm |
| Diagnosis | |||