Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11718 | Date 29/06/2024 |
| Token No | SM/25-26/463 15/05/2025 | Serial | 014 |
| Patient Name | Master SURYANSH RAY | Contact No | 9477900817 |
| Address | 86C/5 DEY STREET | Age | 1 YRS 6 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||