Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07944 | Date 14/12/2022 |
| Token No | SM/24-25/19302 14/10/2024 | Serial | 015 |
| Patient Name | Master SAYAN BHAR | Contact No | 9836524759 |
| Address | 40 NABAKRISHNA GUIN LANE | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||