Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08142 | Date 09/01/2023 |
| Token No | SM/22-23/7421 09/01/2023 | Serial | 009 |
| Patient Name | Miss ANUSHKA BHAR | Contact No | 9143168260 |
| Address | KALITALA | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||