Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07840 | Date 29/11/2022 |
| Token No | SM/22-23/6702 29/11/2022 | Serial | 017 |
| Patient Name | Master DEBAPRIYO SARKHEL | Contact No | 9903649681 |
| Address | 42A THAKURBATI STREET | Age | 9 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||