Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10777 | Date 10/11/2023 |
| Token No | SM/24-25/17361 05/07/2024 | Serial | 015 |
| Patient Name | Master MRIGANKO MONDAL | Contact No | 9836916815 |
| Address | 42/B/1 R.B. STREET | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||