Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09923 | Date 09/08/2023 |
| Token No | SM/22-23/11500 09/08/2023 | Serial | 018 |
| Patient Name | Mrs. PURNIMA DEY | Contact No | 8584937459 |
| Address | 10 BECHU DEY LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||