Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06803 | Date 16/05/2024 |
| Token No | SM/24-25/26912 21/08/2024 | Serial | 014 |
| Patient Name | Mr. SAIBAL BISWAS | Contact No | 6290680766 |
| Address | 152/1 NISITH SEN SARANI SITALATALA BAIDYABATI 712222 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||