Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07662 | Date 15/11/2022 |
| Token No | SM/22-23/7413 09/01/2023 | Serial | 001 |
| Patient Name | Master DEBDIP DUTTA | Contact No | 6289404483 |
| Address | 34 DEY BAGAN | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||