Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12436 | Date 07/12/2024 |
| Token No | SM/24-25/20078 07/12/2024 | Serial | 015 |
| Patient Name | Mr. AYUSH MAITY | Contact No | 8981693003 |
| Address | 14 THAKUR DAS BABU LANE | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||