Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05532 | Date 14/03/2022 |
| Token No | SM/21-22/2405 14/03/2022 | Serial | 007 |
| Patient Name | Master RAUNAK ROY | Contact No | NOT GIVEN |
| Address | 86 DEY STREET | Age | 2 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||