Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10349 | Date 08/09/2023 |
| Token No | SM/22-23/12374 08/09/2023 | Serial | 041 |
| Patient Name | Master KRISHNA CHOWDHURY | Contact No | 9804287724 |
| Address | 34 K M BHATTACHARHJEE STREET | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||