Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07757 | Date 22/11/2022 |
| Token No | SM/24-25/19615 08/11/2024 | Serial | 006 |
| Patient Name | Master HIMANGSU DAS. | Contact No | 9883872821 |
| Address | 60 DEY STREET | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||