Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03314 | Date 05/12/2022 |
| Token No | SM/22-23/4958 05/12/2022 | Serial | 012 |
| Patient Name | Master SOUMYADIP BAURI | Contact No | |
| Address | BANSBERIA HOOGHLY | Age | 8 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||