Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12463 | Date 16/12/2024 |
| Token No | SM/24-25/20227 16/12/2024 | Serial | 022 |
| Patient Name | Master SK SAHEED | Contact No | 9748144788 |
| Address | 13 K.C. BHATTACHARYA STREET | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||