Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06550 | Date 29/07/2022 |
| Token No | SM/22-23/4182 29/07/2022 | Serial | 011 |
| Patient Name | Master SK BASIR | Contact No | NOT GIVEN |
| Address | K M BHATTACHARJEE STREET | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||