Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11734 | Date 03/07/2024 |
| Token No | SM/24-25/17284 03/07/2024 | Serial | 011 |
| Patient Name | Master PRITHWIJIT GHOSH | Contact No | 6290391769 |
| Address | 8 PANDIT KALINATH BHATTACHARYA STREET | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||