Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09516 | Date 30/06/2025 |
| Token No | SM/25-26/4159 30/06/2025 | Serial | 070 |
| Patient Name | Mr. NEIL MALLICK | Contact No | 9088283226 |
| Address | PANCHLAKHI NONAPARA RISHRA HOOGHLY | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||