Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08879 | Date 26/04/2023 |
| Token No | SM/22-23/9188 26/04/2023 | Serial | 018 |
| Patient Name | Miss MEGHNA MUKHERJEE | Contact No | NOT GIVEN1 |
| Address | 128G POTUA PARA | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||