Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09416 | Date 19/06/2023 |
| Token No | SM/22-23/10346 19/06/2023 | Serial | 033 |
| Patient Name | Mr. ABHISEKH DAS.. | Contact No | 8478912709 |
| Address | 113 R.B. SARANI | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||