Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09665 | Date 18/07/2023 |
| Token No | SM/22-23/10973 18/07/2023 | Serial | 007 |
| Patient Name | Miss AVERI BISWAS | Contact No | 9874299563 |
| Address | 2A KASHI DAKTAR LANE | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||