Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09645 | Date 17/07/2023 |
| Token No | SM/22-23/15290 15/03/2024 | Serial | 002 |
| Patient Name | Miss SANDHYA SHAW | Contact No | 7450043907 |
| Address | L B S ROAD | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||