Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10633 | Date 04/10/2023 |
| Token No | SM/22-23/12924 04/10/2023 | Serial | 003 |
| Patient Name | Mrs. KAJAL HARI.. | Contact No | 6290369249 |
| Address | 30/B J N LAHIRI ROAD | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||