Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12615 | Date 05/02/2025 |
| Token No | SM/24-25/20832 05/02/2025 | Serial | 004 |
| Patient Name | Miss SAGARIKA PANDI | Contact No | 6289295122 |
| Address | INDIA JUTE MILL | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||