Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 14986 | Date 26/10/2026 |
| Token No | SM/25-26/6066 26/10/2026 | Serial | 016 |
| Patient Name | Master PRANJAL MITRA | Contact No | 7003792834 |
| Address | 38 PANCHANAN TALA LANE | Age | DOB: 04.09.23 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||