Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10229 | Date 31/08/2023 |
| Token No | SM/22-23/12128 31/08/2023 | Serial | 006 |
| Patient Name | Miss KIRAN PRASAD | Contact No | 8100813115 |
| Address | 29/A NILMUNI GHOSH LANE | Age | 9 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||