Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03934 | Date 18/03/2020 |
| Token No | SM/22-23/11489 09/08/2023 | Serial | 007 |
| Patient Name | Mrs. DIPA DEY | Contact No | 9836640631 |
| Address | 4 DEY ST | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||