Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06436 | Date 15/03/2024 |
| Token No | SM/22-23/19880 15/03/2024 | Serial | 027 |
| Patient Name | Mr. AMIT KUMAR BASU | Contact No | |
| Address | NASIBPUR HOOGHLY | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||