Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12525 | Date 13/01/2025 |
| Token No | SM/24-25/20491 13/01/2025 | Serial | 034 |
| Patient Name | Baby YASH DUTTA | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 7 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||