Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11778 | Date 11/07/2024 |
| Token No | SM/24-25/17466 11/07/2024 | Serial | 017 |
| Patient Name | Miss JAYASHREE CHOUDHURY | Contact No | 9330309919 |
| Address | 2B A B GARDEN LANE | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||