Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13588 | Date 10/10/2025 |
| Token No | SM/25-26/2238 10/10/2025 | Serial | 006 |
| Patient Name | Master SIBANSHU RAM | Contact No | |
| Address | KAILASH CHATTERJEE LANE | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||