Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10214 | Date 29/08/2023 |
| Token No | SM/22-23/12090 29/08/2023 | Serial | 023 |
| Patient Name | Mrs. MALATI PAKIRA | Contact No | 9330510194 |
| Address | 22 ASUTOSH CHATTERJEE LANE | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||