Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08524 | Date 13/03/2023 |
| Token No | SM/22-23/8234 13/03/2023 | Serial | 017 |
| Patient Name | Master RIANSHU KUMAR SHA | Contact No | 9748145099 |
| Address | 6 RAM SITA LANE, NAYA BAGAN | Age | 1 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||