Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09260 | Date 06/06/2023 |
| Token No | SM/22-23/10008 06/06/2023 | Serial | 002 |
| Patient Name | Mrs. ANAMIKA SIKDAR.. | Contact No | 7278423555 |
| Address | 53/24 J.N. LAHIRI ROAD | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||