Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11564 | Date 23/05/2024 |
| Token No | SM/24-25/16449 23/05/2024 | Serial | 019 |
| Patient Name | Miss KAMALINI DEY | Contact No | 8420011374 |
| Address | 5C/1 DEY STREET | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||