Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08322 | Date 10/02/2023 |
| Token No | SM/22-23/7811 10/02/2023 | Serial | 007 |
| Patient Name | Miss IPSITA DAS | Contact No | 9830586694 |
| Address | KALITALA | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||