Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06573 | Date 01/08/2022 |
| Token No | SM/22-23/4225 01/08/2022 | Serial | 013 |
| Patient Name | Miss RITU KUMARI | Contact No | NOT GIVEN |
| Address | 4 GOPAL GANGULY LANE | Age | 4 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||