Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13726 | Date 12/11/2025 |
| Token No | SM/25-26/2597 12/11/2025 | Serial | 024 |
| Patient Name | Master SUNNY KUMAR | Contact No | 8274906010 |
| Address | 12 PITAMBAR DEY LANE | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||