Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10598 | Date 29/09/2023 |
| Token No | SM/22-23/14632 07/02/2024 | Serial | 019 |
| Patient Name | Master ISHAN BANERJEE | Contact No | 7003859278 |
| Address | 15 BRAJA DUTTA LANE | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||