Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06917 | Date 05/09/2022 |
| Token No | SM/22-23/4875 05/09/2022 | Serial | 028 |
| Patient Name | Master AHAN MONDAL | Contact No | 6291103254 |
| Address | 24 A K C BHATTACHARJEE STREET | Age | 3 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||