Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10629 | Date 03/10/2023 |
| Token No | SM/22-23/12911 03/10/2023 | Serial | 035 |
| Patient Name | Miss PRIYANKA BISWAS | Contact No | 9643427353 |
| Address | 537D G.T. ROAD | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||