Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09767 | Date 25/07/2023 |
| Token No | SM/22-23/11179 25/07/2023 | Serial | 009 |
| Patient Name | Master AADIPTA PAL | Contact No | 8420358923 |
| Address | 92/B/1 DEY STREET | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||