Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02825 | Date 29/09/2022 |
| Token No | SM/22-23/3178 29/09/2022 | Serial | 042 |
| Patient Name | Mr. BANTI BISWAS | Contact No | 8276884326 |
| Address | KONNAGAR BASER COLONY KONNAGAR M 712234 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||