Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11158 | Date 20/02/2024 |
| Token No | SM/22-23/14806 20/02/2024 | Serial | 015 |
| Patient Name | Mr. NILASISH ROY | Contact No | |
| Address | DEY GHAT LANE | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||