Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09340 | Date 14/06/2023 |
| Token No | SM/22-23/10185 14/06/2023 | Serial | 007 |
| Patient Name | Baby GUNGUN KUMARI | Contact No | 6203314237 |
| Address | 12 PITAMBAR DEY LANE | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||