Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05995 | Date 03/01/2024 |
| Token No | SM/24-25/31645 23/11/2024 | Serial | 011 |
| Patient Name | Miss ARPITA KUMARI | Contact No | 8777538651 |
| Address | PASCHIMPARA GHORAMARA P MALLICKPARA 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||