Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07335 | Date 19/10/2022 |
| Token No | SM/22-23/5672 19/10/2022 | Serial | 009 |
| Patient Name | Master TIRTHANKAR PASWAN | Contact No | 8017698647 |
| Address | 6D/1 S.B.GHOSH 3RD BYE LANE | Age | 18 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||