Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08593 | Date 21/01/2025 |
| Token No | SM/25-26/3236 09/06/2025 | Serial | 061 |
| Patient Name | Mr. ARNAB DAS | Contact No | 9830175271 |
| Address | SATGHARA PURBAPARA DAKSHIN RAJYADHARPUR MALLICKPARA 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 54 KG |
| Pulse Rate | 80 / min | Height | 168 cm |
| Diagnosis | |||