Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09854 | Date 03/08/2023 |
| Token No | SM/22-23/11351 03/08/2023 | Serial | 015 |
| Patient Name | Miss SWETA RAJBHAR | Contact No | 9748116391 |
| Address | 27 BAZAR BYE LANE,SERAMPORE | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||