Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08321 | Date 10/02/2023 |
| Token No | SM/22-23/7810 10/02/2023 | Serial | 006 |
| Patient Name | Miss ANKITA DAS | Contact No | 9830586694 |
| Address | SERAMPORE KALITALA | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||