Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08691 | Date 04/04/2023 |
| Token No | SM/22-23/8693 04/04/2023 | Serial | 004 |
| Patient Name | Master ANEESH CHAUDHURI | Contact No | 8902419266 |
| Address | 17/3 CHOWDHURY PARA LANE | Age | 9 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||