Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09981 | Date 16/08/2023 |
| Token No | SM/22-23/11646 16/08/2023 | Serial | 019 |
| Patient Name | Mrs. TAPASI MALIK | Contact No | 6291592616 |
| Address | 40 A BHAGIRATHI LANE | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||