Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02611 | Date 25/07/2019 |
| Token No | SM/22-23/8226 13/03/2023 | Serial | 009 |
| Patient Name | Master SUJIT MAHATO | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 11 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||