Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12970 | Date 07/05/2025 |
| Token No | SM/25-26/391 07/05/2025 | Serial | 013 |
| Patient Name | Mr. ROHAN CHAUDHURI | Contact No | 8981591160 |
| Address | PACHU BAZAR | Age | 14 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||