Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12486 | Date 23/12/2024 |
| Token No | SM/25-26/1469 30/07/2025 | Serial | 009 |
| Patient Name | Miss TANISHKA SHAW | Contact No | 8585040217 |
| Address | BROJO DUTTA LANE | Age | 6 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||