Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08597 | Date 21/03/2023 |
| Token No | SM/22-23/8423 21/03/2023 | Serial | 003 |
| Patient Name | Master PRIYORANJAN BISWAL | Contact No | 7003521703 |
| Address | CHOWDHURY PARA, MANNA BARI | Age | 8 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||