Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12730 | Date 05/03/2025 |
| Token No | SM/25-26/1057 02/07/2025 | Serial | 010 |
| Patient Name | Mr. AGASTYA DAS | Contact No | 7633803766 |
| Address | 14 B DEY STREET | Age | 3 yrS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||