Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06557 | Date 29/07/2022 |
| Token No | SM/22-23/4196 29/07/2022 | Serial | 025 |
| Patient Name | Miss SOUMYADIP BOSE | Contact No | 8017859852 |
| Address | BELTING BAZAR | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||