Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 14985 | Date 26/10/2026 |
| Token No | SM/25-26/6065 26/10/2026 | Serial | 015 |
| Patient Name | Baby DIDRIKSHA PAUL | Contact No | 9547766936 |
| Address | 132/C T B STREET | Age | DOB: 07.04.25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||