Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08821 | Date 24/04/2023 |
| Token No | SM/22-23/9068 24/04/2023 | Serial | 003 |
| Patient Name | Miss SUSMITA PRADHAN | Contact No | 7449643958 |
| Address | 12 PITAMBAR DEY LANE | Age | 9 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||