Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12740 | Date 06/03/2025 |
| Token No | SM/24-25/21221 06/03/2025 | Serial | 007 |
| Patient Name | Miss SAMADRITA DEY | Contact No | 8017001727 |
| Address | 17 NAHERU NAGAR COLONY | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||