Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11904 | Date 06/08/2024 |
| Token No | SM/24-25/17949 06/08/2024 | Serial | 010 |
| Patient Name | Master SADDAM SHAW | Contact No | 7890236454 |
| Address | 25 AKC BHATTACHARYA STREET | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||