Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10590 | Date 29/09/2023 |
| Token No | SM/24-25/21025 19/02/2025 | Serial | 017 |
| Patient Name | Master ADITYA DAS | Contact No | 9038427465 |
| Address | 3a pitambar dey lane, dey street | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||