Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01693 | Date 19/02/2019 |
| Token No | SM/22-23/7543 19/01/2023 | Serial | 001 |
| Patient Name | Master SK ARHAN | Contact No | 8334072423 |
| Address | DEY STREET | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||