Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04470 | Date 11/06/2021 |
| Token No | SM/21-22/399 11/06/2021 | Serial | 002 |
| Patient Name | Mr. SUMAN LAHA | Contact No | 9674432521 |
| Address | 33 G C BHATTACHARJEE LANE | Age | 15 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||