Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08765 | Date 17/04/2023 |
| Token No | SM/22-23/8911 17/04/2023 | Serial | 005 |
| Patient Name | Master PRIYANGSU KUMAR | Contact No | 6290849750 |
| Address | 5 DEY STREET | Age | 11 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||