Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08594 | Date 21/01/2025 |
| Token No | SM/24-25/34517 21/01/2025 | Serial | 091 |
| Patient Name | Mr. SUBHODIP BISWAS | Contact No | 9830175271 |
| Address | SATGHARA PURBAPARA DAKSHIN RAJYADHARPUR MALLICKPARA 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||