Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12561 | Date 22/01/2025 |
| Token No | SM/24-25/20651 22/01/2025 | Serial | 019 |
| Patient Name | Baby ANUSHA DUTTA | Contact No | 9330843946 |
| Address | 26 PANCHANAN TALA LANE | Age | 3 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||