Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10293 | Date 04/09/2023 |
| Token No | SM/22-23/12250 04/09/2023 | Serial | 034 |
| Patient Name | Mr. SAPTAM SARKAR | Contact No | 8777242024 |
| Address | 11F/SASHIBHUSAN LANE | Age | 10 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||