Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11607 | Date 05/06/2024 |
| Token No | SM/24-25/16682 05/06/2024 | Serial | 020 |
| Patient Name | Master RAUNAK ROY | Contact No | 9065296617 |
| Address | 86 DEY STREET | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||