Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10095 | Date 23/08/2023 |
| Token No | SM/22-23/11879 23/08/2023 | Serial | 001 |
| Patient Name | Miss URMILA DAS | Contact No | 9051128451 |
| Address | MELA BARI K M SHA STREET | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||