Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11463 | Date 02/05/2024 |
| Token No | SM/24-25/16027 02/05/2024 | Serial | 010 |
| Patient Name | Master PIYUSH GIRI | Contact No | 9334519731 |
| Address | 17C N.L. BHATTACHARYA STREET | Age | 7 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||