Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 02598 | Date 01/09/2022 |
| Token No | SM/22-23/2401 01/09/2022 | Serial | 007 |
| Patient Name | Miss NANDINI SHAW | Contact No | 8617784248 |
| Address | 9 NO SHIV SATGHARA ROAD RISHRA M | Age | 13 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||