Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10198 | Date 29/08/2023 |
| Token No | SM/22-23/12074 29/08/2023 | Serial | 007 |
| Patient Name | Master SUBRATA SANTRA.. | Contact No | 9051300314 |
| Address | BOSEPARA | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||