Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05358 | Date 28/01/2022 |
| Token No | SM/24-25/20743 29/01/2025 | Serial | 002 |
| Patient Name | Mr. SAGNIK HAZRA | Contact No | 8820052740 |
| Address | 47 dhulipara lane | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||