Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09795 | Date 27/07/2023 |
| Token No | SM/24-25/19705 14/11/2024 | Serial | 012 |
| Patient Name | Miss RITIKA SHAW | Contact No | 7439625180 |
| Address | 2 L M BHATTACHARJEE STREET | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||