Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00966 | Date 25/09/2018 |
| Token No | SM/22-23/10465 23/06/2023 | Serial | 035 |
| Patient Name | Baby SHREYA MAJHI | Contact No | 9330992039 |
| Address | 79B DEY STREET | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||