Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08353 | Date 16/02/2023 |
| Token No | SM/22-23/7883 16/02/2023 | Serial | 018 |
| Patient Name | Mr. HEMANTA PRATAP BHATTACHARJEE | Contact No | 6289362407 |
| Address | 14 DHARMATALA LANE | Age | 8 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||