Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08400 | Date 16/12/2024 |
| Token No | SM/24-25/32837 16/12/2024 | Serial | 046 |
| Patient Name | Miss SHRABONI ROY | Contact No | 9836676282 |
| Address | UTTAR MONDAL PARA SIMLA MALLICKPARA 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||