Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09577 | Date 10/07/2023 |
| Token No | SM/22-23/10756 10/07/2023 | Serial | 008 |
| Patient Name | Mrs. SHANTI DAS | Contact No | 8100523404 |
| Address | 19 KHETRASWAR MELA BARI | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||