Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06312 | Date 08/07/2022 |
| Token No | SM/25-26/2735 24/11/2025 | Serial | 022 |
| Patient Name | Miss SANJANA KUMARI | Contact No | 8777314246 |
| Address | GOPAL GANGULY LANE | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||