Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07836 | Date 29/11/2022 |
| Token No | SM/22-23/6696 29/11/2022 | Serial | 011 |
| Patient Name | Master ANURAG GHOSH | Contact No | 8961176934 |
| Address | 55/6 BHAGIRATHI LANE | Age | 7 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||