Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09734 | Date 11/08/2025 |
| Token No | SM/25-26/6184 11/08/2025 | Serial | 049 |
| Patient Name | Master RIYANSH RABIDAS | Contact No | 9836660451 |
| Address | 519 R B C ROAD NAIHATI GARIFA N24 PRGS 743166 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||