Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13694 | Date 03/11/2025 |
| Token No | SM/25-26/2481 03/11/2025 | Serial | 017 |
| Patient Name | Baby TRIWIDHA SINGH | Contact No | 7033405632 |
| Address | 28 CHOWDHURY PARA LANE | Age | 2 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||