Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08058 | Date 29/12/2022 |
| Token No | SM/22-23/7246 29/12/2022 | Serial | 007 |
| Patient Name | Miss ASTHA DAS | Contact No | 7605817752 |
| Address | 17 CHOWDHURY PARA LANE | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||