Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13037 | Date 24/05/2025 |
| Token No | SM/25-26/569 24/05/2025 | Serial | 029 |
| Patient Name | Master SUPRATIM PAKIRA | Contact No | 9674288264 |
| Address | 13 A.B. GARDEN LANE | Age | 3 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||