Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01533 | Date 28/12/2018 |
| Token No | SM/25-26/2760 25/11/2025 | Serial | 013 |
| Patient Name | Baby ARADHYA DAS | Contact No | 9830706830 |
| Address | 120 MANIK TALA | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||