Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10236 | Date 31/08/2023 |
| Token No | SM/22-23/12138 31/08/2023 | Serial | 016 |
| Patient Name | Master SUBHAJIT CHAKRABARTY | Contact No | 9830819397 |
| Address | 28 B THAKURBARI STREET | Age | 18 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||