Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05689 | Date 21/11/2023 |
| Token No | SM/22-23/15630 21/11/2023 | Serial | 001 |
| Patient Name | Miss SANJANA BHUIYA | Contact No | 9123900323 |
| Address | BB GHOSH ROAD HARIJAN BASTI 712203 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||