Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10618 | Date 03/10/2023 |
| Token No | SM/24-25/19927 27/11/2024 | Serial | 004 |
| Patient Name | Miss ROSHNI DAS | Contact No | 9330302992 |
| Address | 3 DOSTI LANE | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||