Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04301 | Date 20/04/2021 |
| Token No | SM/21-22/113 20/04/2021 | Serial | 007 |
| Patient Name | Master SINGHAM KUMAR SHA | Contact No | 9804197736 |
| Address | 5/2/C GOPAL GANGULY LANE | Age | 5 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||