Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07944 | Date 14/12/2022 |
| Token No | SM/22-23/10523 30/06/2023 | Serial | 026 |
| Patient Name | Master SAYAN BHAR | Contact No | 9836524759 |
| Address | 40 NABAKRISHNA GUIN LANE | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||