Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08575 | Date 17/03/2023 |
| Token No | SM/22-23/14050 03/01/2024 | Serial | 007 |
| Patient Name | Master RITTIK GIRI | Contact No | NOT GIVEN |
| Address | AKHRA BATI LANE | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||