Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13104 | Date 12/06/2025 |
| Token No | SM/25-26/792 12/06/2025 | Serial | 017 |
| Patient Name | Master PRITHVI CHAKRABORTY | Contact No | 8617276220 |
| Address | THAKURBATI STREET | Age | 2 YR 5 MONTHS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||