Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06924 | Date 06/09/2022 |
| Token No | SM/22-23/4891 06/09/2022 | Serial | 006 |
| Patient Name | Master SURAJIT MONDAL | Contact No | 9064824783 |
| Address | 3 WILLAM CAREY ROAD | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||