Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11087 | Date 01/02/2024 |
| Token No | SM/22-23/14541 01/02/2024 | Serial | 013 |
| Patient Name | Master ARAB PRADHAN | Contact No | 7439006191 |
| Address | 45 DR. N L B STREET | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||