Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13043 | Date 24/05/2025 |
| Token No | SM/25-26/576 24/05/2025 | Serial | 036 |
| Patient Name | Miss ATREYEE HALDER | Contact No | 9064132914 |
| Address | JHOWDANGA (DEY STREET, WARD 14) | Age | 3 YRS 6 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||