Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07264 | Date 17/10/2022 |
| Token No | SM/22-23/5717 21/10/2022 | Serial | 017 |
| Patient Name | Miss SNIGDHA BISWAS.. | Contact No | 9836967809 |
| Address | 29 K M BHATTACHARJEE STREET | Age | 11 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||