Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05401 | Date 08/02/2022 |
| Token No | SM/21-22/2110 08/02/2022 | Serial | 011 |
| Patient Name | Miss KRITIKA BISWAL | Contact No | 9330388521 |
| Address | SERAMPORE COLLEGE MORE | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||