Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07509 | Date 04/11/2022 |
| Token No | SM/22-23/6008 04/11/2022 | Serial | 005 |
| Patient Name | Master RAJA DAS. | Contact No | 7439527915 |
| Address | 573 MANIKTALA G T ROAD | Age | 11 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||