Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03913 | Date 11/03/2023 |
| Token No | SM/22-23/7457 11/03/2023 | Serial | 019 |
| Patient Name | Miss AISHA SHIREEN | Contact No | 9831513550 |
| Address | 106 G T ROAD WEST SERAMPORE 712203 | Age | 10 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||