Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11838 | Date 23/07/2024 |
| Token No | SM/24-25/17695 23/07/2024 | Serial | 009 |
| Patient Name | Miss SONALI GOMESH | Contact No | 9330860525 |
| Address | DEY STREET | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||