Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08676 | Date 30/03/2023 |
| Token No | SM/22-23/8646 30/03/2023 | Serial | 018 |
| Patient Name | Miss BABY BARIK | Contact No | 7978814676 |
| Address | 18 no line, india jute mill | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||