Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13437 | Date 01/09/2025 |
| Token No | SM/25-26/1815 01/09/2025 | Serial | 015 |
| Patient Name | Mr. DEBANGSH RAY | Contact No | 6289816538 |
| Address | PATUA PARA | Age | 9 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||