Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08159 | Date 11/01/2023 |
| Token No | SM/22-23/7470 11/01/2023 | Serial | 018 |
| Patient Name | Miss TAPASYA ROY | Contact No | 8252864449 |
| Address | A B GARDEN LANE | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||