Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13041 | Date 24/05/2025 |
| Token No | SM/25-26/574 24/05/2025 | Serial | 034 |
| Patient Name | Miss SAMBHAVI DAS | Contact No | 9088871202 |
| Address | 33 PANCHANANTALA LANE | Age | 1 YR Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||