Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08122 | Date 05/01/2023 |
| Token No | SM/22-23/7383 05/01/2023 | Serial | 018 |
| Patient Name | Miss SNIGDHA BISWAS | Contact No | 8697487719 |
| Address | 29 K M BHATTACHARJEE STREET | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||