Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09421 | Date 19/06/2023 |
| Token No | SM/22-23/10352 19/06/2023 | Serial | 039 |
| Patient Name | Miss ARPITA DAS.. | Contact No | 8777364290 |
| Address | 579 G.T. ROAD, SEAM[PORE | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||