Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10328 | Date 07/09/2023 |
| Token No | SM/22-23/12322 07/09/2023 | Serial | 015 |
| Patient Name | Mrs. RINA DAS | Contact No | 9088710687 |
| Address | 14A1/B SATISH CHANDRA GHOSH LANE | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||