Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08774 | Date 17/04/2023 |
| Token No | SM/22-23/8930 17/04/2023 | Serial | 024 |
| Patient Name | Mr. ARITRA MANNA | Contact No | NOT GIVEN |
| Address | 52/1/2/3 BHAGIRATHI LANE | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||