Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10333 | Date 07/09/2023 |
| Token No | SM/22-23/12329 07/09/2023 | Serial | 022 |
| Patient Name | Master SAMAR SHAW | Contact No | 9051283389 |
| Address | 23 BARAL BAGAN | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||