Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12065 | Date 04/09/2024 |
| Token No | SM/24-25/18614 05/09/2024 | Serial | 006 |
| Patient Name | Miss MOULI GHOSH | Contact No | NOT GIVEN |
| Address | NALIKUL | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||