Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03822 | Date 23/02/2023 |
| Token No | SM/22-23/7013 23/02/2023 | Serial | 014 |
| Patient Name | Mr. SUBHAM KUMAR | Contact No | 7439366843 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||