Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09827 | Date 02/08/2023 |
| Token No | SM/22-23/11302 02/08/2023 | Serial | 005 |
| Patient Name | Miss SHREOSI BASU ROY | Contact No | 8910249238 |
| Address | 87 G T ROAD | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||