Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06194 | Date 23/06/2022 |
| Token No | SM/22-23/3556 23/06/2022 | Serial | 003 |
| Patient Name | Miss SONA KUMARI | Contact No | NOT GIVEN |
| Address | KAILASH CHATTERJEE LANE | Age | 5.5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||