Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12471 | Date 19/12/2024 |
| Token No | SM/24-25/20283 19/12/2024 | Serial | 003 |
| Patient Name | Master SWARNABHA MAJUMDER | Contact No | 9330050474 |
| Address | CHOWDHURY PARA | Age | 4 YRS 6 MNTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||