Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05701 | Date 19/04/2022 |
| Token No | SM/22-23/2716 19/04/2022 | Serial | 007 |
| Patient Name | Baby AARYA SEN | Contact No | 9836424408 |
| Address | 622 G T ROAD | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||