Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10758 | Date 08/11/2023 |
| Token No | SM/22-23/13236 08/11/2023 | Serial | 014 |
| Patient Name | Miss ANJALI SHAW | Contact No | 6291038871 |
| Address | 3 WILLUM CAREY ROAD | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||