Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12018 | Date 29/08/2024 |
| Token No | SM/24-25/20881 07/02/2025 | Serial | 017 |
| Patient Name | Miss ANUJA SINGH | Contact No | 9073794153 |
| Address | 54 S.B. GHOSH LANE | Age | 3 YRS 6 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||