Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13725 | Date 12/11/2025 |
| Token No | SM/25-26/2589 12/11/2025 | Serial | 016 |
| Patient Name | Baby KRITI DAS | Contact No | 8910011350 |
| Address | 122 R B SARANI | Age | 2 YEARS 6 MONTH Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||