Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12808 | Date 19/03/2025 |
| Token No | SM/24-25/21383 19/03/2025 | Serial | 021 |
| Patient Name | Master SUBHO SAHA | Contact No | 6290122347 |
| Address | 29 SHIBTALA LANE | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||