Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12637 | Date 07/02/2025 |
| Token No | SM/24-25/20882 07/02/2025 | Serial | 018 |
| Patient Name | Mr. SK SADIK ALI | Contact No | 9433910672 |
| Address | 9 K C BHATTACHARYA STREET | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||