Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09264 | Date 07/06/2023 |
| Token No | SM/24-25/16922 15/06/2024 | Serial | 017 |
| Patient Name | Master AYESH KUMAR SHA | Contact No | 8100347787 |
| Address | DEY STREET | Age | 2 YRS 7mnths Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||