Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10179 | Date 28/08/2023 |
| Token No | SM/22-23/12045 28/08/2023 | Serial | 047 |
| Patient Name | Baby DHRITI SAHA | Contact No | |
| Address | 2 NO BECHUDA LANE | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||