Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09247 | Date 05/06/2023 |
| Token No | SM/22-23/9981 05/06/2023 | Serial | 028 |
| Patient Name | Mr. SANDIP DAS | Contact No | 7890242235 |
| Address | K.M. SHA STREET | Age | 14 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||