Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10654 | Date 05/10/2023 |
| Token No | SM/22-23/12968 05/10/2023 | Serial | 014 |
| Patient Name | Miss SWEETY ROY | Contact No | 9681381485 |
| Address | 8/A NILMANI GHOSH LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||