Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09474 | Date 23/06/2023 |
| Token No | SM/22-23/10442 23/06/2023 | Serial | 012 |
| Patient Name | Mrs. JAYA MUKHERJEE | Contact No | 9865858780 |
| Address | K M SHA STREET | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||