Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07344 | Date 19/10/2022 |
| Token No | SM/22-23/5699 19/10/2022 | Serial | 036 |
| Patient Name | Miss PRADIPTI NANDI | Contact No | 9674859877 |
| Address | CHATTERJEE LANE | Age | 16 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||