Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10188 | Date 17/11/2025 |
| Token No | SM/25-26/10575 17/11/2025 | Serial | 050 |
| Patient Name | Baby MOUNISHA DHARA | Contact No | 8336055323 |
| Address | KAMALAPUR PURBAPARA SINGUR 712306 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||