Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09857 | Date 03/08/2023 |
| Token No | SM/22-23/11355 03/08/2023 | Serial | 019 |
| Patient Name | Mrs. URMILA BHATTACHARYA NATH | Contact No | 8420022499 |
| Address | 10 DOSTI LANE | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||