Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08756 | Date 11/04/2023 |
| Token No | SM/22-23/10822 12/07/2023 | Serial | 028 |
| Patient Name | Mrs. DIPA DAS | Contact No | 7596835821 |
| Address | LALIT MOHAN BHATTACHARYA ST | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||