Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10722 | Date 02/11/2023 |
| Token No | SM/22-23/13151 02/11/2023 | Serial | 013 |
| Patient Name | Miss MARIYAM ARA | Contact No | 9403019283 |
| Address | 10 CHATTERJEE LANE | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||