Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13549 | Date 20/09/2025 |
| Token No | SM/25-26/2134 20/09/2025 | Serial | 008 |
| Patient Name | Master SOHAG NASKAR | Contact No | 7439962497 |
| Address | 70 THAKURBATI STREET | Age | 14 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||