Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08919 | Date 28/04/2023 |
| Token No | SM/22-23/9256 28/04/2023 | Serial | 018 |
| Patient Name | Master RAJIB DAS | Contact No | NOT GIVEN |
| Address | 573 G T ROAD, MANIKTALA | Age | 3 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||