Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11098 | Date 05/02/2024 |
| Token No | SM/22-23/14594 05/02/2024 | Serial | 023 |
| Patient Name | Miss SHJREYA KUMARI | Contact No | 6289544973 |
| Address | 3 DEY GHAT LANE | Age | 10 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||