Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10875 | Date 04/12/2023 |
| Token No | SM/24-25/19192 04/10/2024 | Serial | 027 |
| Patient Name | Mr. ANIRBAN BHATTACHARYA | Contact No | 8981677256 |
| Address | MAHESH COLONY | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||