Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09454 | Date 22/06/2023 |
| Token No | SM/22-23/10407 22/06/2023 | Serial | 009 |
| Patient Name | Mrs. MINATI SAHA | Contact No | 7890452314 |
| Address | 113 J.N. LAHIRI ROPAD | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||