Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08215 | Date 01/02/2023 |
| Token No | SM/22-23/7609 01/02/2023 | Serial | 004 |
| Patient Name | Master SK SHUBHO | Contact No | 8820394467 |
| Address | 26 K C BHATTACHARYA STREET | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||