Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13045 | Date 24/05/2025 |
| Token No | SM/25-26/579 24/05/2025 | Serial | 039 |
| Patient Name | Miss AROHI DEY | Contact No | 7980916824 |
| Address | 10 BECHU DEY LANE | Age | 18 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||