Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13677 | Date 30/10/2025 |
| Token No | SM/25-26/2455 30/10/2025 | Serial | 024 |
| Patient Name | Master RANJVIR DEY | Contact No | 7980265074 |
| Address | 5E GOPAL GANGULY LANE | Age | 2 YRS 3 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||