Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11119 | Date 08/02/2024 |
| Token No | SM/25-26/1056 02/07/2025 | Serial | 009 |
| Patient Name | Master ABHINAB DAS | Contact No | 7739505335 |
| Address | 14B DEY STREET | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||