Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08148 | Date 10/01/2023 |
| Token No | SM/22-23/7436 10/01/2023 | Serial | 014 |
| Patient Name | Mr. KRISHNENDU DAS | Contact No | 8582873780 |
| Address | 562 G T ROAD, MANIKTALA | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||