Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08579 | Date 17/03/2023 |
| Token No | SM/22-23/8385 17/03/2023 | Serial | 031 |
| Patient Name | Master SURAJ KUMAR SHAW | Contact No | 9163721315 |
| Address | NAYA BAGAN | Age | 12 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||