Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04838 | Date 31/08/2021 |
| Token No | SM/21-22/1009 31/08/2021 | Serial | 031 |
| Patient Name | Miss SNEHA MUKHERJEE | Contact No | 9007629528 |
| Address | 13 CHATTERJEE LANE | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||