Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12788 | Date 17/03/2025 |
| Token No | SM/24-25/21350 17/03/2025 | Serial | 023 |
| Patient Name | Other SAMADRITA DUTTA | Contact No | 7044019693 |
| Address | 4A RUDRARAM PANDIT LANE | Age | 10 YRS Other |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||