Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09806 | Date 28/07/2023 |
| Token No | SM/22-23/11251 28/07/2023 | Serial | 013 |
| Patient Name | Mr. RUPAM NOLKHA | Contact No | 8697509270 |
| Address | MAHESH PHARI, GANGULY BAGAN | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||