Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08230 | Date 02/02/2023 |
| Token No | SM/22-23/7641 02/02/2023 | Serial | 010 |
| Patient Name | Miss TRISHA DAS | Contact No | 7278070333 |
| Address | 14 BARA BAGAN | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||