Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10340 | Date 08/09/2023 |
| Token No | SM/22-23/12342 08/09/2023 | Serial | 009 |
| Patient Name | Miss SHRABANTY DUTTA | Contact No | 9831276974 |
| Address | SHIBTALA LANE | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||