Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08443 | Date 23/02/2023 |
| Token No | SM/22-23/12232 04/09/2023 | Serial | 016 |
| Patient Name | Miss POULAMI PATRA | Contact No | 9831880874 |
| Address | 39A BHAGIRATHI LANE | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||