Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06461 | Date 25/07/2022 |
| Token No | SM/22-23/4019 25/07/2022 | Serial | 011 |
| Patient Name | Master ROHON DAS | Contact No | 9062376072 |
| Address | 57 BANERJEE PARA | Age | 8 YRS 4 MNTH Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||