Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11461 | Date 02/05/2024 |
| Token No | SM/24-25/16019 02/05/2024 | Serial | 002 |
| Patient Name | Mr. JOYDEEP NATH | Contact No | 9073591132 |
| Address | 8 K.C. BHATTACHARYA ST | Age | 6.5 yrs Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||