Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07546 | Date 07/11/2022 |
| Token No | SM/22-23/6078 07/11/2022 | Serial | 028 |
| Patient Name | Baby MOHONA PARIDA | Contact No | 7044696080 |
| Address | DEY BARI, WILLAM CAREY ROAD | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||