Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12487 | Date 23/12/2024 |
| Token No | SM/24-25/20335 23/12/2024 | Serial | 003 |
| Patient Name | Miss ANISHKA SHAW | Contact No | 8585040217 |
| Address | 10 RAIL QUATER | Age | 2 mnths Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||