Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13240 | Date 16/07/2025 |
| Token No | SM/25-26/1244 16/07/2025 | Serial | 014 |
| Patient Name | Master SK RAYAN | Contact No | 6289597533 |
| Address | NOAPARA, SINGUR | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||