Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09922 | Date 09/08/2023 |
| Token No | SM/22-23/11499 09/08/2023 | Serial | 017 |
| Patient Name | Mrs. SUSMITA BISAWAS | Contact No | 7278797292 |
| Address | 9 CHANDRAMOHAN ROY LANE | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||