Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08512 | Date 06/03/2023 |
| Token No | SM/22-23/8924 17/04/2023 | Serial | 018 |
| Patient Name | Miss ARPITA SHAW | Contact No | 9088586388 |
| Address | 43 BHAGIRATHI LANE | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||