Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08059 | Date 29/12/2022 |
| Token No | SM/22-23/7247 29/12/2022 | Serial | 008 |
| Patient Name | Mr. AYUSH DAS | Contact No | 7605817752 |
| Address | 17 CHOWDHURY PARA | Age | 14 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||