Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10765 | Date 09/11/2023 |
| Token No | SM/22-23/13256 09/11/2023 | Serial | 005 |
| Patient Name | Miss PIYALI HALDER | Contact No | 7890495798 |
| Address | 22 K M BHATTACHARJEE STREET | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||