Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07303 | Date 18/10/2022 |
| Token No | SM/24-25/17133 25/06/2024 | Serial | 021 |
| Patient Name | Miss PIYA DEY | Contact No | 8017196640 |
| Address | N N COLONY | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||