Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09831 | Date 02/08/2023 |
| Token No | SM/22-23/11308 02/08/2023 | Serial | 011 |
| Patient Name | Mr. RAJA DAS | Contact No | 7044314635 |
| Address | 573 G.T. ROAD,MANIKTALA | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||