Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07743 | Date 21/11/2022 |
| Token No | SM/24-25/19519 30/10/2024 | Serial | 012 |
| Patient Name | Miss ANUSHKA RAM | Contact No | 8967287282 |
| Address | 2 GOPAL GANGULY LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||