Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06516 | Date 27/07/2022 |
| Token No | SM/22-23/4113 27/07/2022 | Serial | 015 |
| Patient Name | Master ARYAN SAHA | Contact No | NOT GIVEN |
| Address | PRAVAS NAGAR | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||