Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10591 | Date 29/09/2023 |
| Token No | SM/22-23/12826 29/09/2023 | Serial | 026 |
| Patient Name | Miss SOUMIYA SHAW | Contact No | 8910936678 |
| Address | 22 LBS ROAD | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||