Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10595 | Date 29/09/2023 |
| Token No | SM/22-23/12836 29/09/2023 | Serial | 036 |
| Patient Name | Master SUBIR DAS | Contact No | 8961009477 |
| Address | 40 G.T. ROAD | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||