Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12402 | Date 28/11/2024 |
| Token No | SM/25-26/188 21/04/2025 | Serial | 033 |
| Patient Name | Baby ARIBA KHATUN | Contact No | 9681320041 |
| Address | 1A/7 S S ROAD, PRAVAS NAGAR | Age | 5YEARS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||