Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13695 | Date 03/11/2025 |
| Token No | SM/25-26/2482 03/11/2025 | Serial | 018 |
| Patient Name | Baby AMRITA NAG | Contact No | 9836210270 |
| Address | S.B. GHOSH LANE | Age | 2 yrs 6 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||