Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08431 | Date 23/02/2023 |
| Token No | SM/24-25/15942 24/04/2024 | Serial | 011 |
| Patient Name | Master SUVO DAS | Contact No | NOT GIVEN |
| Address | K M SHA STREET | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||