Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13051 | Date 24/05/2025 |
| Token No | SM/25-26/588 24/05/2025 | Serial | 048 |
| Patient Name | Master RONAK ROY | Contact No | 8697780362 |
| Address | 3 PITAMBAR DEY LANE | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||