Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13811 | Date 01/12/2025 |
| Token No | SM/25-26/2842 01/12/2025 | Serial | 026 |
| Patient Name | Miss CHANDNI KUMARI | Contact No | 8274906010 |
| Address | 14 PITAMBER DEY LANE | Age | 3 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||