Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09341 | Date 14/06/2023 |
| Token No | SM/22-23/10186 14/06/2023 | Serial | 008 |
| Patient Name | Master RAUNAK ROY | Contact No | 6203314237 |
| Address | 12 PITAMBAR DEY LANE | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||