Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08755 | Date 11/04/2023 |
| Token No | SM/22-23/12040 28/08/2023 | Serial | 042 |
| Patient Name | Master AYUSH KUMAR | Contact No | 9674489894 |
| Address | 5 B GOPAL GANGULY LANE | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||