Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01999 | Date 22/06/2022 |
| Token No | SM/22-23/733 22/06/2022 | Serial | 033 |
| Patient Name | Mr. ARIJIT DAS | Contact No | 8777477002 |
| Address | FULUI FULUI HOOGHLY 712122 | Age | 12 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||