Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02483 | Date 18/08/2022 |
| Token No | SM/22-23/2110 18/08/2022 | Serial | 001 |
| Patient Name | Mr. RISHIT KOLEY | Contact No | 9062304792 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 8 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||