Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07740 | Date 21/11/2022 |
| Token No | SM/22-23/6472 21/11/2022 | Serial | 012 |
| Patient Name | Miss RASHMITA PRADHAN | Contact No | 8100149619 |
| Address | PITAMBAR DEY LANE | Age | 8 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||