Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11821 | Date 20/07/2024 |
| Token No | SM/24-25/17635 20/07/2024 | Serial | 015 |
| Patient Name | Master JISAN KHAN | Contact No | 9661688852 |
| Address | AKC BHATTACHARYA STREET | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||