Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10455 | Date 21/09/2023 |
| Token No | SM/22-23/12578 21/09/2023 | Serial | 028 |
| Patient Name | Miss BABLY SARKAR | Contact No | 8642844143 |
| Address | DEY STREET | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||