Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12445 | Date 11/12/2024 |
| Token No | SM/24-25/20128 11/12/2024 | Serial | 003 |
| Patient Name | Master SHREYAN BAG | Contact No | 7890627719 |
| Address | 90/C DEY STREET | Age | 7 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||