Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09547 | Date 05/07/2023 |
| Token No | SM/22-23/10645 05/07/2023 | Serial | 020 |
| Patient Name | Mrs. USHA KUMARI | Contact No | 7644985208 |
| Address | 7/B/1 J.N.LAHIRI ROAD | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||