Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10238 | Date 31/08/2023 |
| Token No | SM/22-23/12141 31/08/2023 | Serial | 019 |
| Patient Name | Mrs. CHAYNA DUTTA | Contact No | 8100794959 |
| Address | BANGIHATI SATGHARA KHAN PUKUR | Age | 78 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||