Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10306 | Date 05/09/2023 |
| Token No | SM/22-23/12270 05/09/2023 | Serial | 002 |
| Patient Name | Mrs. CHANDA KUMARI ROY | Contact No | 6290405537 |
| Address | 2 BECHU DEY LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||