Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08962 | Date 03/05/2023 |
| Token No | SM/22-23/9359 03/05/2023 | Serial | 022 |
| Patient Name | Master SOUMYADEEP DAS | Contact No | 8697360820 |
| Address | 41/A KHASBAGAN LANE | Age | 14 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||