Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10531 | Date 26/09/2023 |
| Token No | SM/22-23/12695 26/09/2023 | Serial | 011 |
| Patient Name | Master PRAGYAN SHAW | Contact No | 9040101210 |
| Address | 18 NO. LINE | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||