Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03903 | Date 10/03/2023 |
| Token No | SM/22-23/7408 10/03/2023 | Serial | 012 |
| Patient Name | Mr. MD AMAN | Contact No | 6290638067 |
| Address | 89/C MALLICKPARA LANE SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||