Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05577 | Date 23/03/2022 |
| Token No | SM/21-22/2506 23/03/2022 | Serial | 004 |
| Patient Name | Baby ANSH CHOWDHURY | Contact No | NOT GIVEN |
| Address | 1 AUDDY LANE | Age | 1 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||