Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07233 | Date 13/10/2022 |
| Token No | SM/22-23/5480 13/10/2022 | Serial | 024 |
| Patient Name | Mrs. BABY OF PRITY PARIDA | Contact No | 8100568025 |
| Address | DEY BARI | Age | 21 DAYS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||