Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12379 | Date 25/11/2024 |
| Token No | SM/24-25/19859 25/11/2024 | Serial | 005 |
| Patient Name | Master SHIBAM DAS | Contact No | 9734578029 |
| Address | 2 DEY BAGAN LANE | Age | 7 MNTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||