Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11185 | Date 21/02/2024 |
| Token No | SM/22-23/14873 21/02/2024 | Serial | 042 |
| Patient Name | Baby ANANYA SHAW | Contact No | 9163787426 |
| Address | 39/C THAKURBATI STREET | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||