Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05891 | Date 23/05/2022 |
| Token No | SM/22-23/3045 23/05/2022 | Serial | 006 |
| Patient Name | Miss ANUSHKA KUMARI | Contact No | 9875497730 |
| Address | 12 PITAMBAR DEY LANE | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||