Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 11226 | Date 04/03/2024 |
| Token No | SM/24-25/17075 24/06/2024 | Serial | 006 |
| Patient Name | Master DEBANGAN DEBNATH | Contact No | 7890531020 |
| Address | 223/8H G,T, ROAD | Age | 9 MNTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||