Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06688 | Date 10/08/2022 |
| Token No | SM/22-23/11047 20/07/2023 | Serial | 007 |
| Patient Name | Miss ARPITA DAS | Contact No | 9331943290 |
| Address | 22 THKUR BATI STREET | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||