Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10041 | Date 21/08/2023 |
| Token No | SM/22-23/11783 21/08/2023 | Serial | 018 |
| Patient Name | Mrs. RUPA NANDI | Contact No | 7439699221 |
| Address | 59 KHAS BAGAN LANE | Age | 47 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||