Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09200 | Date 01/06/2023 |
| Token No | SM/22-23/9894 01/06/2023 | Serial | 002 |
| Patient Name | Baby SUHANA DUTTA | Contact No | NOT GIVEN |
| Address | 20 J N LAHIRI ROAD | Age | 1 YEAR 6 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||