Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05299 | Date 13/01/2022 |
| Token No | SM/21-22/2307 03/03/2022 | Serial | 013 |
| Patient Name | Master SANNIDHHO LAHA | Contact No | 7890365574 |
| Address | 33 G C BHATTACHARJEE LANE | Age | 6 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||