Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11750 | Date 06/07/2024 |
| Token No | SM/25-26/559 24/05/2025 | Serial | 019 |
| Patient Name | Baby RADHIKA DAS | Contact No | 7044314635 |
| Address | 573 MANIKTALA | Age | 1 YR 6 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||