Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11618 | Date 06/06/2024 |
| Token No | SM/24-25/16716 06/06/2024 | Serial | 018 |
| Patient Name | Master ABHINAV DAS | Contact No | 6290274680 |
| Address | DEY STREET | Age | 1 yr 6 mnths Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||