Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13528 | Date 15/09/2025 |
| Token No | SM/25-26/2062 15/09/2025 | Serial | 019 |
| Patient Name | Master RAYAN CHAKRABORTY | Contact No | 8016120352 |
| Address | 86/2/1/C DEY STREET | Age | 10 months Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||