Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08030 | Date 27/12/2022 |
| Token No | SM/22-23/7189 27/12/2022 | Serial | 033 |
| Patient Name | Baby AARIYA SEN.. | Contact No | 9836424408 |
| Address | 622 G.T. ROAD, BOTTALA | Age | 9 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||