Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12776 | Date 12/03/2025 |
| Token No | SM/24-25/21311 12/03/2025 | Serial | 027 |
| Patient Name | Baby SHRISTI KUMARI | Contact No | 6290849432 |
| Address | 4 DEY GHAT LANE | Age | 15 days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||