Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13026 | Date 24/05/2025 |
| Token No | SM/25-26/556 24/05/2025 | Serial | 016 |
| Patient Name | Baby AGRIBHA DEY | Contact No | 7074949373 |
| Address | 12A KASHI DOCTOR LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||