Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11326 | Date 28/03/2024 |
| Token No | SM/22-23/15467 28/03/2024 | Serial | 002 |
| Patient Name | Master ALOK KUMAR SHA | Contact No | 9007095049 |
| Address | 18 A K C BHATTACHARJEE STREET | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||