Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12779 | Date 13/03/2025 |
| Token No | SM/24-25/21319 13/03/2025 | Serial | 008 |
| Patient Name | Master SAWAN RAM | Contact No | 6289361902 |
| Address | 2 GOPAL GANGULY LANE | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||