Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09626 | Date 14/07/2023 |
| Token No | SM/22-23/10885 14/07/2023 | Serial | 005 |
| Patient Name | Mrs. MANI DAS | Contact No | NOT GIVEN |
| Address | BAIDYABATI | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||