Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13244 | Date 17/07/2025 |
| Token No | SM/25-26/1260 17/07/2025 | Serial | 006 |
| Patient Name | Mr. ANKIT KHALKHO | Contact No | 7044339095 |
| Address | SERAMPORE COLLEGE | Age | 20 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||