Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04302 | Date 20/04/2021 |
| Token No | SM/21-22/114 20/04/2021 | Serial | 008 |
| Patient Name | Miss ANSHIKA KUMARI | Contact No | 9804197736 |
| Address | 5/2/C GOPAL GANGULY LANE | Age | 3 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||