Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11193 | Date 26/02/2024 |
| Token No | SM/22-23/14934 26/02/2024 | Serial | 003 |
| Patient Name | Master MAYANK SHAW | Contact No | 6289722464 |
| Address | 11/326 INDIA JUTE MILL | Age | 9 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||