Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13823 | Date 04/12/2025 |
| Token No | SM/25-26/2866 04/12/2025 | Serial | 001 |
| Patient Name | Baby SRIDHA MITRA | Contact No | 8979719204 |
| Address | 3 BECHU DEY LANE | Age | 1 YEAR 8 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||