Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10045 | Date 21/08/2023 |
| Token No | SM/22-23/11787 21/08/2023 | Serial | 022 |
| Patient Name | Miss ADRITA DAS | Contact No | 9748635271 |
| Address | JHAUTALA | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||