Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07895 | Date 06/12/2022 |
| Token No | SM/24-25/17896 03/08/2024 | Serial | 016 |
| Patient Name | Mr. ARYAN SHA | Contact No | 9883966959 |
| Address | 83 DEY STREET | Age | 5 YR 6 MNTH Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||