Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05046 | Date 04/09/2023 |
| Token No | SM/22-23/19940 18/03/2024 | Serial | 037 |
| Patient Name | Mr. PRODEEP DAS | Contact No | 9681929926 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||