Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13589 | Date 10/10/2025 |
| Token No | SM/25-26/2239 10/10/2025 | Serial | 007 |
| Patient Name | Miss RIYA KUMARI | Contact No | |
| Address | KAILASH CHATTERJEE LANE | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||