Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13818 | Date 03/12/2025 |
| Token No | SM/25-26/2858 03/12/2025 | Serial | 007 |
| Patient Name | Baby SNIGDHA RAKSHIT | Contact No | 9874061694 |
| Address | 25 PANDIT KALINATH BHATTACHARJEE STREET | Age | 1 MONTH 25 DAYS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||