Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07436 | Date 28/10/2022 |
| Token No | SM/22-23/5875 28/10/2022 | Serial | 026 |
| Patient Name | Master KABYANSH SHAW | Contact No | 9681818854 |
| Address | 52/A PANCHANAN TALA | Age | 5 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||