Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07721 | Date 18/11/2022 |
| Token No | SM/22-23/6445 18/11/2022 | Serial | 016 |
| Patient Name | Master ARNAB BANERJEE | Contact No | 9330677634 |
| Address | 105 J.N. LAHIRI ROAD | Age | 6 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||