Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08172 | Date 09/11/2024 |
| Token No | SM/24-25/30775 09/11/2024 | Serial | 003 |
| Patient Name | Miss CHANDNI SHAW | Contact No | 6291815630 |
| Address | GOURIPUR TELIAPARA LICHUPARA NAIHATI N 24 PRGS 743661 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||