Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08952 | Date 03/05/2023 |
| Token No | SM/24-25/20180 12/12/2024 | Serial | 023 |
| Patient Name | Mr. SUBHAM GUIN | Contact No | 8910299198 |
| Address | 637 G T ROAD, KALITALA | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||