Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 01992 | Date 22/06/2022 |
| Token No | SM/22-23/716 22/06/2022 | Serial | 016 |
| Patient Name | Mr. RITIK SINGH | Contact No | 8981806760 |
| Address | 2/115 S S ROAD EXTENSION RISHRA M PRABASHNAGAR HOOGHLY 712249 | Age | 15 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||