Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07675 | Date 15/11/2022 |
| Token No | SM/22-23/6338 15/11/2022 | Serial | 025 |
| Patient Name | Master SHIBAM THAKUR | Contact No | 6290849750 |
| Address | 5B DEY STREET, DEY BARI | Age | 8 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||