Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07236 | Date 14/10/2022 |
| Token No | SM/22-23/10749 10/07/2023 | Serial | 001 |
| Patient Name | Mr. SAGNIK DAS | Contact No | 9123910915 |
| Address | 73/A R B SARANI | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||