Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06634 | Date 05/08/2022 |
| Token No | SM/22-23/4353 05/08/2022 | Serial | 002 |
| Patient Name | Master SK HASSAN | Contact No | 9748576492 |
| Address | 40 K M BHATTACHARJEE STREET | Age | 9 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||