Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06498 | Date 26/07/2022 |
| Token No | SM/22-23/4079 26/07/2022 | Serial | 029 |
| Patient Name | Baby TANNI PAL | Contact No | 700800145 |
| Address | KAILASH CHATTERJEE LANE | Age | 4 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||