Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10307 | Date 05/09/2023 |
| Token No | SM/22-23/12271 05/09/2023 | Serial | 003 |
| Patient Name | Miss KRITI RAJBHAR | Contact No | 6290405537 |
| Address | 2 BECHU DEY LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||