Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08998 | Date 11/05/2023 |
| Token No | SM/22-23/9476 11/05/2023 | Serial | 001 |
| Patient Name | Miss ANKSHIKA DAS | Contact No | 7003532896 |
| Address | 13 L B S ROAD | Age | 11 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||