Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01342 | Date 06/12/2018 |
| Token No | SM/24-25/17083 24/06/2024 | Serial | 014 |
| Patient Name | Master ROBI ROY | Contact No | 8335862752 |
| Address | 3 DEY GHAT LANE | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||