Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05302 | Date 13/01/2022 |
| Token No | SM/21-22/1897 13/01/2022 | Serial | 014 |
| Patient Name | Miss SRIJITA NATH | Contact No | 8185626832 |
| Address | 8A DOSTI LANE | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||