Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10408 | Date 14/09/2023 |
| Token No | SM/22-23/12493 14/09/2023 | Serial | 033 |
| Patient Name | Mrs. TITHI DUTTA | Contact No | 6290947985 |
| Address | 20C GOPE LANE ENTALLY | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||