Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05426 | Date 14/02/2022 |
| Token No | SM/21-22/2151 14/02/2022 | Serial | 009 |
| Patient Name | Miss PUNAM ADAK | Contact No | 9038422654 |
| Address | 18 AKHRABATI LANE | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||