Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12943 | Date 02/05/2025 |
| Token No | SM/25-26/323 02/05/2025 | Serial | 001 |
| Patient Name | Baby ARADHYA KUMARI ROY | Contact No | 8981215090 |
| Address | 12 NO LINE RAM SITA LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||