Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13755 | Date 20/11/2025 |
| Token No | SM/25-26/2693 20/11/2025 | Serial | 007 |
| Patient Name | Master PRATIK MALIK | Contact No | 7439541806 |
| Address | 39/A SASHI BHUSHAN GHOSH LANE | Age | 1 YEAR 7 MONTHS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||