Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05830 | Date 12/05/2022 |
| Token No | SM/22-23/10408 22/06/2023 | Serial | 010 |
| Patient Name | Mrs. RAMAWATI DEBI. | Contact No | NOT GIVEN |
| Address | 22A K M BHATTACHARJEE STREET | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||