Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13132 | Date 18/06/2025 |
| Token No | SM/25-26/2847 02/12/2025 | Serial | 004 |
| Patient Name | Master SURIANSH CHOUDHURY | Contact No | 6291072625 |
| Address | 7 DEY GHAT LANE | Age | 3 YRS 3 mnths Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||