Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12593 | Date 30/01/2025 |
| Token No | SM/24-25/20784 30/01/2025 | Serial | 007 |
| Patient Name | Mr. PRITTHIJIT GHOSH | Contact No | 6290391765 |
| Address | 8 PANDIT KALINATH BHATTACHARYA STREET | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||