Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08037 | Date 27/12/2022 |
| Token No | SM/22-23/7200 27/12/2022 | Serial | 044 |
| Patient Name | Mr. PRANAB KUMAR DAS.. | Contact No | 9883172955 |
| Address | 12 PITAMBAR DEY LANE | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||