Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10456 | Date 21/09/2023 |
| Token No | SM/22-23/12579 21/09/2023 | Serial | 029 |
| Patient Name | Mr. RAJU SARKAR | Contact No | 8017611149 |
| Address | 32 BARAL BAGAN | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||