Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08376 | Date 17/02/2023 |
| Token No | SM/22-23/7929 17/02/2023 | Serial | 024 |
| Patient Name | Miss SOURASHREE SINGHA | Contact No | 9339221898 |
| Address | 650A G T ROAD KALITALA | Age | 3 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||