Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08113 | Date 04/01/2023 |
| Token No | SM/22-23/11357 03/08/2023 | Serial | 021 |
| Patient Name | Master ANIKET DAS | Contact No | 9732123730 |
| Address | JOYRAMBATI, BANKURA | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||