Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10630 | Date 03/10/2023 |
| Token No | SM/22-23/12912 03/10/2023 | Serial | 036 |
| Patient Name | Master PIYUSH PRASAD | Contact No | 8777300538 |
| Address | 138 MANIKTALA DEY BAGAN | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||