Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02643 | Date 29/07/2019 |
| Token No | SM/22-23/10701 06/07/2023 | Serial | 023 |
| Patient Name | Mrs. DEVI DUTTA | Contact No | 9903144373 |
| Address | 36 NO KASHI DOCTOR LANE | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||