Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12915 | Date 23/04/2025 |
| Token No | SM/25-26/215 23/04/2025 | Serial | 026 |
| Patient Name | Baby ESHA NANDI | Contact No | 9647303945 |
| Address | G C BHATTACHERJEE LANE | Age | 10 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||