Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13434 | Date 01/09/2025 |
| Token No | SM/25-26/1805 01/09/2025 | Serial | 005 |
| Patient Name | Miss ANAISHA SHAW | Contact No | 9836271987 |
| Address | BANERJEE PARA | Age | 5 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||