Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10682 | Date 30/10/2023 |
| Token No | SM/22-23/13090 30/10/2023 | Serial | 006 |
| Patient Name | Master SK BITTU | Contact No | 8017727336 |
| Address | N L BHATTACHARYA STREET | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||