Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08977 | Date 27/03/2025 |
| Token No | SM/24-25/37515 27/03/2025 | Serial | 021 |
| Patient Name | Master SAYAN DHARA | Contact No | 8145585169 |
| Address | MADHABPUR ARAMBAG 712603 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||