Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 12923 | Date 24/04/2025 |
| Token No | SM/25-26/240 24/04/2025 | Serial | 003 |
| Patient Name | Master ADITYA DAS | Contact No | 9038376546 |
| Address | 4 G.C. BHATTACHARYA LANE, JHAUTALA | Age | 1 YR Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||