Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08855 | Date 08/03/2025 |
| Token No | SM/25-26/869 19/04/2025 | Serial | 037 |
| Patient Name | Mr. MAYANK SANTRA | Contact No | 6290906897 |
| Address | BARA BELU BELUMILKI HOOGHLY 712223 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||