Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08378 | Date 20/02/2023 |
| Token No | SM/22-23/7944 20/02/2023 | Serial | 002 |
| Patient Name | Miss SNEHA DAS | Contact No | 9433420711 |
| Address | 650A G T ROAD KALITALA | Age | 14 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||