Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13479 | Date 06/09/2025 |
| Token No | SM/25-26/1925 06/09/2025 | Serial | 013 |
| Patient Name | Miss RAJASHREE BANERJEE | Contact No | 8820910836 |
| Address | 2 PANDIT KALINATH BHATTACHARYA STREET | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||