Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11268 | Date 11/03/2024 |
| Token No | SM/22-23/15192 11/03/2024 | Serial | 043 |
| Patient Name | Miss ANGANA BARAT | Contact No | 9073107348 |
| Address | 159/1 THAKURBATI STREET | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||