Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12684 | Date 21/02/2025 |
| Token No | SM/24-25/21060 21/02/2025 | Serial | 020 |
| Patient Name | Master SIBANGSH NATH | Contact No | 7278224816 |
| Address | 104 N N COLONY | Age | 2 YRS 6 mnths Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||