Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08540 | Date 14/03/2023 |
| Token No | SM/22-23/11205 26/07/2023 | Serial | 003 |
| Patient Name | Master SRISHAN SARKAR | Contact No | 9230750189 |
| Address | 248/B MAHESH COLONY | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||