Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06231 | Date 28/06/2022 |
| Token No | SM/22-23/3630 28/06/2022 | Serial | 007 |
| Patient Name | Miss PRIYA SHARMA | Contact No | 6350490226 |
| Address | 2 GOPAL GANGULY LANE | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||