Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 03643 | Date 24/01/2023 |
| Token No | SM/22-23/6255 24/01/2023 | Serial | 024 |
| Patient Name | Mr. PRAMIT DAS | Contact No | 8777389443 |
| Address | 18/A/1/A S C GHOSH LANE SERAMPORE 712202 | Age | 17 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||