Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06265 | Date 04/07/2022 |
| Token No | SM/22-23/3720 04/07/2022 | Serial | 002 |
| Patient Name | Master SUVAN KARMAKAR | Contact No | 7439647759 |
| Address | J N LAHIRI ROAD | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||