Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12453 | Date 12/12/2024 |
| Token No | SM/24-25/20182 12/12/2024 | Serial | 025 |
| Patient Name | Miss TAMASA GHOSH | Contact No | 9804062448 |
| Address | DIARA | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||