Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08342 | Date 13/02/2023 |
| Token No | SM/22-23/7856 13/02/2023 | Serial | 022 |
| Patient Name | Mr. ADITYA BRAHMA | Contact No | 9875474839 |
| Address | 5A SUKANTA LANE, MALLICKPARA | Age | 17 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||