Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07811 | Date 25/11/2022 |
| Token No | SM/22-23/6646 25/11/2022 | Serial | 025 |
| Patient Name | Master SOURANIL SAMANTA | Contact No | 8617276220 |
| Address | 149 THAKURBATI ST | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||