Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07616 | Date 08/08/2024 |
| Token No | SM/24-25/26312 09/08/2024 | Serial | 012 |
| Patient Name | Mr. SUVOJIT DAS | Contact No | 6290462326 |
| Address | NAITY ROAD CHOTO BEHERA NABAGRAM KONNAGAR P 712246 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||