Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10194 | Date 29/08/2023 |
| Token No | SM/22-23/12070 29/08/2023 | Serial | 003 |
| Patient Name | Mrs. PRATIMA PAL | Contact No | 8100316630 |
| Address | 24 JN LAHIRI ROAD | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||