Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05812 | Date 08/12/2023 |
| Token No | SM/22-23/16253 08/12/2023 | Serial | 022 |
| Patient Name | Miss AWANTIKA KUMARI SHAW | Contact No | 8100852641 |
| Address | PURBAPARA GHORAMARA MALLICKPARA 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||