Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03967 | Date 20/03/2023 |
| Token No | SM/22-23/8017 06/04/2023 | Serial | 016 |
| Patient Name | Master NAITIK KUMAR | Contact No | 8260113507 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 9 M Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||