Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09486 | Date 23/06/2023 |
| Token No | SM/22-23/10467 23/06/2023 | Serial | 037 |
| Patient Name | Mrs. SHILA PASHI | Contact No | 7044343711 |
| Address | 18 K M BHATTACHARJEE STREET | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||