Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11908 | Date 07/08/2024 |
| Token No | SM/25-26/558 24/05/2025 | Serial | 018 |
| Patient Name | Master RUDRANGSU DEBNATH | Contact No | 6291130387 |
| Address | AB GARDEN LANE | Age | 10 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||