Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09359 | Date 15/06/2023 |
| Token No | SM/24-25/18865 19/09/2024 | Serial | 012 |
| Patient Name | Baby MOHONA PARIDA.. | Contact No | 8100568025 |
| Address | CHATTERJEE LANE | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||