Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13302 | Date 26/07/2025 |
| Token No | SM/25-26/1407 26/07/2025 | Serial | 008 |
| Patient Name | Master RANBIR SHAW | Contact No | 6290529175 |
| Address | 34 GOBINDO CHANDRA BHATTACHARYA LANE | Age | 2 yr 1 month Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||