Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07747 | Date 21/11/2022 |
| Token No | SM/22-23/6575 23/11/2022 | Serial | 023 |
| Patient Name | Master RABIT RAY | Contact No | 9007754737 |
| Address | 56 AKHRA BATI LANE | Age | 8 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||