Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12917 | Date 23/04/2025 |
| Token No | SM/25-26/218 23/04/2025 | Serial | 029 |
| Patient Name | Master PRIYANSHU SHA | Contact No | 6290979044 |
| Address | SERAMPORE TIN BAZAR | Age | 5 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||