Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07815 | Date 03/09/2024 |
| Token No | SM/24-25/27612 03/09/2024 | Serial | 064 |
| Patient Name | Mr. RAKTIM GHOSH | Contact No | 7595883639 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||