Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07107 | Date 22/09/2022 |
| Token No | SM/24-25/16181 10/05/2024 | Serial | 012 |
| Patient Name | Master AAHAD MONDAL | Contact No | 6291103254 |
| Address | 24 A.K.C BHATTACHARYA ST | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||