Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07847 | Date 30/11/2022 |
| Token No | SM/22-23/6722 30/11/2022 | Serial | 011 |
| Patient Name | Master SURAJIT BAYEN | Contact No | 8617799311 |
| Address | K.M. SHA STREET | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||