Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13028 | Date 24/05/2025 |
| Token No | SM/25-26/560 24/05/2025 | Serial | 020 |
| Patient Name | Master SURAJIT MONDAL | Contact No | 9474300381 |
| Address | 7 WILLIAM CAREY ROAD | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||