Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13663 | Date 25/10/2025 |
| Token No | SM/25-26/2400 25/10/2025 | Serial | 022 |
| Patient Name | Baby PRIYANGI RAY | Contact No | 9903112762 |
| Address | 1/A K C BHATTACHARYA STREET | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||