Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 13633 | Date 18/10/2025 |
| Token No | SM/25-26/2331 18/10/2025 | Serial | 004 |
| Patient Name | Miss OISHANI TAPADAR | Contact No | 7044744105 |
| Address | MAHESH | Age | 2 yr 6 mnths Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||