Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12083 | Date 09/09/2024 |
| Token No | SM/24-25/18694 09/09/2024 | Serial | 027 |
| Patient Name | Baby RISHIKA BAG | Contact No | 8273078703 |
| Address | 3 A B GARDEN LANE | Age | 5 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||