Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09392 | Date 16/06/2023 |
| Token No | SM/22-23/10296 16/06/2023 | Serial | 032 |
| Patient Name | Mrs. JHUM SARKAR | Contact No | 9830908522 |
| Address | L B S ROAD | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||