Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10040 | Date 21/08/2023 |
| Token No | SM/24-25/17459 11/07/2024 | Serial | 010 |
| Patient Name | Miss SANVIKA DEY | Contact No | 7001898971 |
| Address | 627 G T ROAD | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||