Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09424 | Date 21/06/2023 |
| Token No | SM/22-23/10357 21/06/2023 | Serial | 003 |
| Patient Name | Baby SRIRUPA BAG | Contact No | 6291588329 |
| Address | 3 A B GARDEN LANE | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||