Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10203 | Date 29/08/2023 |
| Token No | SM/22-23/12079 29/08/2023 | Serial | 012 |
| Patient Name | Mrs. SAVITA PRASAD | Contact No | 8100813115 |
| Address | NILMANI GHOSH LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||