Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11124 | Date 08/02/2024 |
| Token No | SM/22-23/14692 08/02/2024 | Serial | 041 |
| Patient Name | Master ARJUN ROY | Contact No | 9123750538 |
| Address | 14/C DEY STREET | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||