Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07052 | Date 15/09/2022 |
| Token No | SM/22-23/5145 15/09/2022 | Serial | 026 |
| Patient Name | Mrs. KHUSHI RAJBHAR | Contact No | 8881895072 |
| Address | K.M. BHATTACHARYA ST | Age | 10 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||