Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11468 | Date 02/05/2024 |
| Token No | SM/24-25/16036 02/05/2024 | Serial | 019 |
| Patient Name | Master SAYON BHAR | Contact No | 9836524795 |
| Address | 40 NABAKRISHNA GUIN LANE | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||