Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08479 | Date 01/03/2023 |
| Token No | SM/22-23/8113 01/03/2023 | Serial | 009 |
| Patient Name | Mr. DEBKUMAR DAS | Contact No | 9123717448 |
| Address | 80 DEY STREET, PALBAGAN | Age | 13 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||