Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12071 | Date 06/09/2024 |
| Token No | SM/24-25/21317 13/03/2025 | Serial | 006 |
| Patient Name | Master ADITYA RAM | Contact No | 6289361902 |
| Address | 2 GOPAL GANGULY LANE | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||