Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08578 | Date 17/03/2023 |
| Token No | SM/22-23/8373 17/03/2023 | Serial | 019 |
| Patient Name | Miss BARSHA BAG | Contact No | 6289234787 |
| Address | 3 PITAMBAR DEY LANE | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||