Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12277 | Date 28/10/2024 |
| Token No | SM/24-25/19484 28/10/2024 | Serial | 019 |
| Patient Name | Baby JENISHA DEY | Contact No | 983007938 |
| 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 | |||