Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07464 | Date 01/11/2022 |
| Token No | SM/22-23/5918 01/11/2022 | Serial | 010 |
| Patient Name | Miss ANUSHKA DAS | Contact No | 8100801878 |
| Address | 2 RUDRARAM PANDIT LANE | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||