Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10339 | Date 08/09/2023 |
| Token No | SM/22-23/12341 08/09/2023 | Serial | 008 |
| Patient Name | Mrs. SONALI DUTTA | Contact No | 8017150735 |
| Address | SHIBTALA LANE | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||