Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07518 | Date 04/11/2022 |
| Token No | SM/22-23/6021 04/11/2022 | Serial | 018 |
| Patient Name | Miss ROSHNI GOSWAMI | Contact No | 7603083978 |
| Address | 39 L B S ROAD | Age | 11 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||