Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12913 | Date 23/04/2025 |
| Token No | SM/25-26/211 23/04/2025 | Serial | 022 |
| Patient Name | Master AKASH SARKAR | Contact No | 7278228190 |
| Address | 318 G.T. ROAD BAISNAB PARA | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||