Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08060 | Date 29/12/2022 |
| Token No | SM/22-23/7250 29/12/2022 | Serial | 011 |
| Patient Name | Miss ANUSHKA KUMARI DAS | Contact No | 7603084136 |
| Address | 12 PITAMBAR DEY LANE | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||