Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05900 | Date 23/05/2022 |
| Token No | SM/22-23/11841 22/08/2023 | Serial | 020 |
| Patient Name | Mrs. MANABI BISWAS | Contact No | 8335087330 |
| Address | 4 KASHI DAKTAR LANE | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||