Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13024 | Date 24/05/2025 |
| Token No | SM/25-26/551 24/05/2025 | Serial | 011 |
| Patient Name | Baby ARATRIKA PAKIRA | Contact No | 6291831042 |
| Address | 10 RUDRA RAM PANDIT LANE | Age | 2 YRS 6 mnths Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||