Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08798 | Date 21/04/2023 |
| Token No | SM/22-23/9017 21/04/2023 | Serial | 037 |
| Patient Name | Master SUBHAJIT DAS | Contact No | |
| Address | 100 POTUA PARA | Age | 3 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||