Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13017 | Date 24/05/2025 |
| Token No | SM/25-26/543 24/05/2025 | Serial | 003 |
| Patient Name | Master RUDRIK DE | Contact No | 8918976979 |
| Address | 41 S B GHOSH LANE | Age | 1 YR 6 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||