Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11586 | Date 30/05/2024 |
| Token No | SM/25-26/1737 26/08/2025 | Serial | 004 |
| Patient Name | Master RAUNAK ROY | Contact No | 7044108402 |
| Address | 3 PITAMBAR DEY LANE | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||