Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10303 | Date 04/09/2023 |
| Token No | SM/22-23/12266 04/09/2023 | Serial | 050 |
| Patient Name | Mrs. KAMINI BHUIYA | Contact No | 6290001541 |
| Address | J.N. LAHIRI ROAD | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||