Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02673 | Date 09/09/2022 |
| Token No | SM/22-23/2630 09/09/2022 | Serial | 037 |
| Patient Name | Mr. KARAN KUMAR | Contact No | 7890643577 |
| Address | DHARMATALA SERAMPORE | Age | 12 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||