Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08615 | Date 22/03/2023 |
| Token No | SM/22-23/8464 22/03/2023 | Serial | 011 |
| Patient Name | Miss RIMA DUTTA | Contact No | 6290723309 |
| Address | 79/E N.N. ROY STREET | Age | 16 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||