Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07934 | Date 13/12/2022 |
| Token No | SM/24-25/18042 08/08/2024 | Serial | 033 |
| Patient Name | Master PRITAM SHAW | Contact No | 6290117929 |
| Address | 3 WILLAM CAREY ROAD | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||