Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10847 | Date 30/11/2023 |
| Token No | SM/22-23/13461 30/11/2023 | Serial | 017 |
| Patient Name | Miss ISHITA DAS | Contact No | 8335977267 |
| Address | 650A G.T. ROAD, KALITALA | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||