Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07761 | Date 22/11/2022 |
| Token No | SM/22-23/6668 28/11/2022 | Serial | 017 |
| Patient Name | Master PURNO PRADHAN | Contact No | 8100149619 |
| Address | 12 PITAMBAR DEY LANE | Age | 9 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||