Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04682 | Date 04/08/2021 |
| Token No | SM/21-22/2356 08/03/2022 | Serial | 022 |
| Patient Name | Mr. AHIL MONDAL | Contact No | 7278735440 |
| Address | 24 A K C BHATTACHARJEE STREET | Age | 6 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||