Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08912 | Date 28/04/2023 |
| Token No | SM/22-23/9247 28/04/2023 | Serial | 009 |
| Patient Name | Mr. PIYUSH GHOSH | Contact No | 8007589478 |
| Address | DHARMATALA | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||