Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09073 | Date 16/05/2023 |
| Token No | SM/22-23/13225 08/11/2023 | Serial | 003 |
| Patient Name | Mr. BIKASH GOSWAMI | Contact No | NOT GIVEN |
| Address | TIN BAZAR | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||