Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09799 | Date 27/07/2023 |
| Token No | SM/22-23/11238 27/07/2023 | Serial | 023 |
| Patient Name | Mrs. RITA MAITRA | Contact No | NOT GIVEN |
| Address | BURO BIBI LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||