Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06536 | Date 28/07/2022 |
| Token No | SM/22-23/4150 28/07/2022 | Serial | 012 |
| Patient Name | Master RAJA DAS | Contact No | 9144369012 |
| Address | 129 T B STREET | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||