Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09878 | Date 04/08/2023 |
| Token No | SM/22-23/11398 04/08/2023 | Serial | 026 |
| Patient Name | Mr. SAMBIT BASAK | Contact No | 8420012272 |
| Address | 184 N.N. COLONY | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||