Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10310 | Date 05/09/2023 |
| Token No | SM/22-23/12278 05/09/2023 | Serial | 010 |
| Patient Name | Mrs. SUJATA DEY | Contact No | 9433651978 |
| Address | 3A L M B STREET | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||