Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12719 | Date 03/03/2025 |
| Token No | SM/24-25/21162 03/03/2025 | Serial | 023 |
| Patient Name | Master RAJBIR DEY | Contact No | 7980265074 |
| Address | 5B DEY STREET | Age | 1 yr 6 mnths Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||