Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13472 | Date 04/09/2025 |
| Token No | SM/25-26/1898 04/09/2025 | Serial | 008 |
| Patient Name | Baby BABY OF ARCHANA KUMARI | Contact No | 8777329732 |
| Address | 18 DHARMATALA | Age | 5 days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||