Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13700 | Date 04/11/2025 |
| Token No | SM/25-26/2511 04/11/2025 | Serial | 008 |
| Patient Name | Baby SARANAYA BRAHMA | Contact No | 9123938191 |
| Address | 24/1 DEY BAGAN LANE | Age | 5 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||