Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06322 | Date 11/07/2022 |
| Token No | SM/22-23/12509 15/09/2023 | Serial | 004 |
| Patient Name | Master AHINJIT BAGUI | Contact No | NOT GIVEN |
| Address | 16D KAILASH CHATTERJEE LANE | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||