Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05520 | Date 09/03/2022 |
| Token No | SM/21-22/2385 09/03/2022 | Serial | 013 |
| Patient Name | Baby MADHUMITA BAG | Contact No | 9748376492 |
| Address | 3 PITAMBAR DEY LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||