Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08288 | Date 08/02/2023 |
| Token No | SM/22-23/7744 08/02/2023 | Serial | 001 |
| Patient Name | Miss SRIJA DAS | Contact No | 9123032374 |
| Address | 40 DOSTI LANE | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||