Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01599 | Date 20/05/2022 |
| Token No | SM/22-23/11 20/05/2022 | Serial | 009 |
| Patient Name | Baby PALLABI SHAW | Contact No | 9330460507 |
| Address | NAYA BASTI RISHRA | Age | 1 Y 6 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 7 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||