Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08700 | Date 05/04/2023 |
| Token No | SM/22-23/8718 05/04/2023 | Serial | 005 |
| Patient Name | Miss PRIYANKA SHAW | Contact No | 9073882679 |
| Address | 59 L M BHATTACHARJEE STREET | Age | 11 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||