Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03673 | Date 03/01/2020 |
| Token No | SM/22-23/8285 14/03/2023 | Serial | 021 |
| Patient Name | Master SOURAV SHAW | Contact No | 9330287376 |
| Address | 2 LALIT MOHAN BHATTACHARYA STREET | Age | 15 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||