Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09389 | Date 16/06/2023 |
| Token No | SM/22-23/10293 16/06/2023 | Serial | 029 |
| Patient Name | Mrs. NOUSUMI DAS | Contact No | 6291573297 |
| Address | 68 PATUA PARA LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||