Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12013 | Date 29/08/2024 |
| Token No | SM/24-25/18447 29/08/2024 | Serial | 011 |
| Patient Name | Miss NISHA KUMARI RAM | Contact No | 9163732655 |
| Address | 2 GOPAL GANGULY LANE | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||