Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11836 | Date 23/07/2024 |
| Token No | SM/24-25/17693 23/07/2024 | Serial | 007 |
| Patient Name | Master RAJVIR DEY | Contact No | 7980265074 |
| Address | 5/D GOPAL GANGULY LANE | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||