Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13038 | Date 24/05/2025 |
| Token No | SM/25-26/2484 03/11/2025 | Serial | 020 |
| Patient Name | Master VAIBHAB RAM | Contact No | 6291476035 |
| Address | 2 GOPAL GANGULY LANE | Age | 9 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||