Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08714 | Date 05/04/2023 |
| Token No | SM/22-23/8741 05/04/2023 | Serial | 028 |
| Patient Name | Master ANIKET DAS. | Contact No | 9832123730 |
| Address | BANKURA JAIRAM BATI | Age | 2 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||