Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12786 | Date 17/03/2025 |
| Token No | SM/24-25/21344 17/03/2025 | Serial | 017 |
| Patient Name | Master SK ARHAM | Contact No | 9064289485 |
| Address | THAKURBATI STREET | Age | 1 YR Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||