Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11926 | Date 09/08/2024 |
| Token No | SM/24-25/18078 09/08/2024 | Serial | 017 |
| Patient Name | Master HIMAGNI DAS | Contact No | 9903126790 |
| Address | 118 G.T. ROAD, MANIKTALA | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||