Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05651 | Date 04/04/2022 |
| Token No | SM/24-25/16266 15/05/2024 | Serial | 015 |
| Patient Name | Master RIT GANGULY | Contact No | NOT GIVEN |
| Address | CHOWDHURY PARA LANE | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||