Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09272 | Date 08/06/2023 |
| Token No | SM/22-23/10054 08/06/2023 | Serial | 014 |
| Patient Name | Mrs. MALLIKA BHUIMALI | Contact No | 6289250634 |
| Address | 11/H SASHIBHUSAN GHOSH LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||