Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13770 | Date 24/11/2025 |
| Token No | SM/25-26/2736 24/11/2025 | Serial | 023 |
| Patient Name | Miss SANJANA. KUMARI | Contact No | 8777314246 |
| Address | GOPAL GANGULY LANE | Age | 10 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||