Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11829 | Date 22/07/2024 |
| Token No | SM/24-25/17667 22/07/2024 | Serial | 009 |
| Patient Name | Master AYUSH PRAMANIK | Contact No | 7059852449 |
| Address | 12 AKHRA BATI LANE | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||