Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10479 | Date 22/09/2023 |
| Token No | SM/22-23/12615 22/09/2023 | Serial | 014 |
| Patient Name | Mrs. CHITRA DAS | Contact No | 8697358514 |
| Address | 102 J.N.LAHIRI ROAD | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||