Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12678 | Date 19/02/2025 |
| Token No | SM/24-25/21009 19/02/2025 | Serial | 001 |
| Patient Name | Baby DEBPARNA DUTTA | Contact No | 9903144373 |
| Address | 36 KASHI DAKTAR LANE | Age | 3.5 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||