Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11643 | Date 12/06/2024 |
| Token No | SM/24-25/16833 12/06/2024 | Serial | 006 |
| Patient Name | Baby BABY OF PUJA SINGH | Contact No | 8240264509 |
| Address | 23 N.L. BHATTACHARYA STREET | Age | 12 DAYS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||