Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12668 | Date 15/02/2025 |
| Token No | SM/24-25/20969 15/02/2025 | Serial | 002 |
| Patient Name | Miss RADHIKA DAS | Contact No | 8013146858 |
| Address | TIN BAZAR | Age | 18 monthjs Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||