Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12276 | Date 28/10/2024 |
| Token No | SM/24-25/19483 28/10/2024 | Serial | 018 |
| Patient Name | Baby JENIKA DEY | Contact No | 9830079389 |
| Address | 5/B/1 DEY STREET | Age | 1mnth 16 days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||