Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12388 | Date 25/11/2024 |
| Token No | SM/24-25/19880 25/11/2024 | Serial | 026 |
| Patient Name | Mr. AVASH TATT | Contact No | 8013866806 |
| Address | 16/2 BON BIHARI BASU ROAD, HOWRAH | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||