Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 14983 | Date 26/10/2026 |
| Token No | SM/25-26/6063 26/10/2026 | Serial | 013 |
| Patient Name | Baby AADHYA DAS | Contact No | 9748610411 |
| Address | INSIA JUTE MILL | Age | DOB: 13.09.26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||