Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09162 | Date 23/05/2023 |
| Token No | SM/22-23/9773 23/05/2023 | Serial | 012 |
| Patient Name | Mr. SUMIT KUMAR | Contact No | 8340388296 |
| Address | SERAMPORE COLLEGE | Age | 12 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||