Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12624 | Date 06/02/2025 |
| Token No | SM/24-25/20852 06/02/2025 | Serial | 008 |
| Patient Name | Baby SOURABHI HAZRA | Contact No | 8910519779 |
| Address | 32 BARAL BAGAN LANE | Age | 1 YEAR 5 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||