Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01880 | Date 10/06/2022 |
| Token No | SM/22-23/467 10/06/2022 | Serial | 027 |
| Patient Name | Mr. ABHAY JHA | Contact No | 7890956362 |
| Address | GHORAMARA MALLICKPARA EAST SERAMPORE 712203 | Age | 14 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||