Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13314 | Date 29/07/2025 |
| Token No | SM/25-26/1447 29/07/2025 | Serial | 003 |
| Patient Name | Miss RITIKA SINGH | Contact No | 9903354069 |
| Address | 1 L.M. BHATTACHARYA STREET | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||