Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06922 | Date 06/09/2022 |
| Token No | SM/24-25/16748 07/06/2024 | Serial | 001 |
| Patient Name | Master PRITAM KUMAR SHAW | Contact No | 6290117929 |
| Address | 3 WILLAM CAREY ROAD | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||