Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10581 | Date 29/09/2023 |
| Token No | SM/22-23/12813 29/09/2023 | Serial | 013 |
| Patient Name | Mrs. SARMILA JANA | Contact No | 8961014535 |
| Address | 40/A/1 BHAGIRATHI LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||