Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13480 | Date 06/09/2025 |
| Token No | SM/25-26/1927 06/09/2025 | Serial | 015 |
| Patient Name | Baby DIBYA BHARATI | Contact No | 8101954650 |
| Address | BANERJEE PARA | Age | 16 days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||