Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12775 | Date 12/03/2025 |
| Token No | SM/25-26/582 24/05/2025 | Serial | 042 |
| Patient Name | Baby SARIKA SHAW | Contact No | 6290373841 |
| Address | BHAGIRATHI LANE | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||