Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10227 | Date 31/08/2023 |
| Token No | SM/22-23/12125 31/08/2023 | Serial | 003 |
| Patient Name | Miss POUSHALI DEY | Contact No | 9433651978 |
| Address | 3A L.M. BHATTACHARYA STREET | Age | 31 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||