Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13729 | Date 13/11/2025 |
| Token No | SM/25-26/2617 13/11/2025 | Serial | 019 |
| Patient Name | Miss ANISHKA SHAW | Contact No | 9163599420 |
| Address | KALITALA | Age | 1 yr Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||