Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02796 | Date 13/08/2019 |
| Token No | SM/22-23/13778 14/12/2023 | Serial | 009 |
| Patient Name | Master SOUMIK PATRA | Contact No | 8033694902 |
| Address | 11 ANNADA BABU GARDEN LANE | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||