Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09870 | Date 04/08/2023 |
| Token No | SM/24-25/17548 16/07/2024 | Serial | 008 |
| Patient Name | Master AMIT DAS | Contact No | 6290021070 |
| Address | 3 G T ROAD | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||