Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07432 | Date 28/10/2022 |
| Token No | SM/22-23/5867 28/10/2022 | Serial | 018 |
| Patient Name | Miss PRITI KUMARI PANDIT | Contact No | NOT GIVEN |
| Address | MANIKTALA, DEY BAGAN | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||