Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09339 | Date 14/06/2023 |
| Token No | SM/22-23/10184 14/06/2023 | Serial | 006 |
| Patient Name | Mrs. PUJA NALAKHHA | Contact No | 8697509270 |
| Address | 36/D SHIBTALA LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||