Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08779 | Date 18/04/2023 |
| Token No | SM/22-23/8945 18/04/2023 | Serial | 006 |
| Patient Name | Miss SUBHASHREE PAL | Contact No | 9088974671 |
| Address | 44/1/E DR. N L BHATTACHARJEE STREET | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||