Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09782 | Date 26/07/2023 |
| Token No | SM/22-23/11206 26/07/2023 | Serial | 004 |
| Patient Name | Mrs. ITIKA SARKAR | Contact No | 9432739484 |
| Address | 248/B MAHESH COLONY | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||