Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11065 | Date 25/01/2024 |
| Token No | SM/22-23/14404 25/01/2024 | Serial | 002 |
| Patient Name | Master ABHINAB DAS | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||