Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06530 | Date 28/07/2022 |
| Token No | SM/22-23/4141 28/07/2022 | Serial | 003 |
| Patient Name | Master SRIJITA SUR | Contact No | 9433669871 |
| Address | J N LAHIRI ROAD | Age | 6 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||