Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07857 | Date 30/11/2022 |
| Token No | SM/22-23/6741 30/11/2022 | Serial | 030 |
| Patient Name | Miss ANANYA PAL | Contact No | 9163814037 |
| Address | 182 N N COLONY | Age | 17 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||