Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08345 | Date 16/02/2023 |
| Token No | SM/22-23/12976 05/10/2023 | Serial | 022 |
| Patient Name | Mr. SK SAYEED | Contact No | 9748144788 |
| Address | 13 K.C. BHATTACHARYA STREET | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||