Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09302 | Date 12/06/2023 |
| Token No | SM/22-23/10799 12/07/2023 | Serial | 005 |
| Patient Name | Master AHAD MONDAL | Contact No | 6291103254 |
| Address | 24 A.K.C BHATTACHARYA ST | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||