Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03289 | Date 30/11/2022 |
| Token No | SM/22-23/5097 08/12/2022 | Serial | 023 |
| Patient Name | Mr. RIDDHIMAN BHATTACHARYYA | Contact No | 6291933807 |
| Address | 2A/4 ASHUTOSH CHATTERJEE LANE MAHESH 712202 | Age | 17 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||